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El Dorado Community Service Center
Methadone Clinic in Pico Rivera, California
NPI 1568677235

El Dorado Community Service Center is a Methadone Clinic based in California, CA and is specialized in Methadone. El Dorado Community Service Center practices in Pico Rivera, CA. The NPI Number for El Dorado Community Service Center is 1568677235 and holds a License No. 19AP (California).

The current practice location address for El Dorado Community Service Center is 5200 San Gabriel Pl Suite B & C, Pico Rivera, CA and can be reached out via phone at 562-222-1331 and via fax at 562-222-1322.

Location: 5200 San Gabriel Pl Suite B & C, Pico Rivera, CA, 91350-2991
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568677235
Provider Name
El Dorado Community Service Center
Credential
Provider Entity Type
Organization
Address
5200 San Gabriel Pl Suite B & C, Pico Rivera, CA, 91350-2991
Phone Number
562-222-1331
Fax Number
562-222-1322
Provider Enumeration Date
05/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
19-148 01 CA STATE NTP LICENSE
19AP 01 CA ADPA
institution
Provider Business Practice Location Address Details
Address
5200 San Gabriel Pl Suite B & C
City
Pico Rivera
State
California
Zip
90660-2497
Phone Number
562-222-1331
Fax Number
562-222-1322
person
Provider Business Mailing Address Details
Address
5200 San Gabriel Pl Suite B & C
City
Pico Rivera
State
California
Zip
90660-2497
Phone Number
562-222-1331
Fax Number
562-222-1322
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
19AP (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
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