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Dual Diagnosis Assessment And Treatment Center
Clinic/Center in Los Angeles, California
NPI 1457398539

Dual Diagnosis Assessment And Treatment Center is a Clinic/Center based in Northridge, CA. Dual Diagnosis Assessment And Treatment Center practices in Los Angeles, CA. The NPI Number for Dual Diagnosis Assessment And Treatment Center is 1457398539 and holds a License No. 96000148 (California).

The current practice location address for Dual Diagnosis Assessment And Treatment Center is 3545 Wilshire Blvd, Los Angeles, CA and can be reached out via phone at 310-628-9512 and via fax at 818-804-4043.

Location: 3545 Wilshire Blvd, Los Angeles, CA, 91326-1651
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457398539
Provider Name
Dual Diagnosis Assessment And Treatment Center
Credential
Provider Entity Type
Organization
Address
3545 Wilshire Blvd, Los Angeles, CA, 91326-1651
Phone Number
310-628-9512
Fax Number
818-804-4043
Provider Enumeration Date
05/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CMM71096F 01 CA MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
3545 Wilshire Blvd
City
Los Angeles
State
California
Zip
90010-2388
Phone Number
310-628-9512
Fax Number
818-804-4043
person
Provider Business Mailing Address Details
Address
3545 Wilshire Blvd
City
Los Angeles
State
California
Zip
90010-2388
Phone Number
310-628-9512
Fax Number
818-804-4043
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
96000148 (California)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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