GEORGE MOSQUEDA

LOS ANGELES, CA
NPI1912209420
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2010-12-03
Last Update Date2010-12-03
Business Address
-- GEORGE MOSQUEDA
5012 S LA BREA AVE
LOS ANGELES, CA 90056-1863
Phone number: 323-290-0200
Mailing Address
-- GEORGE MOSQUEDA
11958 ACACIA AVE APT B
HAWTHORNE, CA 90250-3075
Phone number: 323-290-0200
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