| NPI | 1831601764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THAIPHONG THANH VO In House Counsel 818-206-0360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center Methadone (Licence: CA 19-154) |
| Additional Taxonomies | 261QM2800X Clinic/Center Methadone (Licence: CA 40-02) |
| 261QM2800X Clinic/Center Methadone (Licence: CA 15-05) | |
| 261QM2800X Clinic/Center Methadone (Licence: CA 15-07) | |
| 261QM2800X Clinic/Center Methadone (Licence: CA 04-02) | |
| 261QM2800X Clinic/Center Methadone (Licence: CA 04-02MU1) | |
| 261QM2800X Clinic/Center Methadone (Licence: CA 15-06) | |
| 261QM2800X Clinic/Center Methadone (Licence: CA 19-156) | |
| 261QM2800X Clinic/Center Methadone (Licence: CA 10-07) | |
| 261QM2800X Clinic/Center Methadone (Licence: CA 36-12) | |
| 261QM2800X Clinic/Center Methadone (Licence: CA 19-158) | |
| 261QM2800X Clinic/Center Methadone (Licence: CA 39-13) | |
| 261QM2800X Clinic/Center Methadone (Licence: CA 39-14) | |
| 261QM2800X Clinic/Center Methadone (Licence: CA 51-05) | |
| 261QM2800X Clinic/Center Methadone (Licence: CA 24-02) | |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2018-03-17 |