Health Care Dual Diagnosis

LBN: Dual Diagnosis Assessment And Treatment Center
Health Care Dual Diagnosis is an health care organization with primary practice located at 3545 Wilshire Blvd , Los Angeles CA 90010-2388. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Dual Diagnosis Assessment And Treatment Center can be contacted via phone (310) 628-9512, or through Miller, Edna Elizabeth via phone (310) 628-9512.

Contact Information

Primary practice address
3545 Wilshire Blvd Los Angeles CA 90010-2388
Phone: (310) 628-9512
Fax: (818) 804-4043
Website:
Map and Directions
Authorized official contact:
Name: Miller, Edna Elizabeth
Phone: (310) 628-9512

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 96000148 California

Profile Details

NPI number 1457398539
LBN Legal business name Dual Diagnosis Assessment And Treatment Center
DBA Doing business as Health Care Dual Diagnosis
Authorized official Miller, Edna Elizabeth
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2006
Last updated Mar 3rd, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457398539 NPPES
California Other CMM71096F MEDI-CAL

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