LOS ANGELES CENTER FOR ALCOHOL AND DRUG ABUSE (NPI# 1154832749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154832749 |
| Entity Type | Organization |
| Organization Name | LOS ANGELES CENTER FOR ALCOHOL AND DRUG ABUSE |
| Other Organization Name | SAFE HAVEN |
| Practice Address |
12580 Lakeland Road Santa Fe Springs CA 90670 |
| Mailing Address |
11015 Bloomfield Ave Santa Fe Springs CA 90670-4601 |
| Practice Telephone | 5629062686 |
| Mailing Telephone | 5629062686 |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | MR. JUAN NAVARRO (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5629062686 |
| Is Organization Subpart | Y |
| Parent Organization Name | LOS ANGELES CENTER FOR ALCOHOL AND DRUG ABUSE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Safe Haven | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700383270 | Los Angeles Center for Alcohol and Drug Abuse | Clinic/Center | 5861 Cherry Ave, Long Beach, CA 90805-4405 | 2018-04-10 |
| 1003327081 | Los Angeles Center for Alcohol and Drug Abuse | Clinic/Center | 11111 Bloomfield Ave, Santa Fe Springs, CA 90670-4655 | 2017-10-18 |
| 1639553670 | Los Angeles Center for Alcohol and Drug Abuse | Case Management | 470 E 3rd St, Suite A and B, Los Angeles, CA 90013-1629 | 2015-07-18 |
| Street Address |
12580 LAKELAND ROAD |
| City | SANTA FE SPRINGS, |
| State | CA |
| Zip Code | 90670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588283279 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 11721 East Telegraph Road Unit I, Santa Fe Springs, CA 90670 | 2020-04-13 |
| 1487205563 | Jurrell Davis | Counselor | 16332 Marvene Dr., Santa Fe Springs, CA 90670 | 2019-09-20 |
| 1003370065 | Amber D Perez-riggins | Counselor | 11015 Bloomfiled Ave, Santa Fe Springs, CA 90670 | 2019-01-24 |
| 1518481001 | Cecilia Bueno | Case Manager/Care Coordinator | 11721 Telegraph Rd, Santa Fe Springs, CA 90670 | 2017-07-27 |
| 1447773148 | Richard Paige | Counselor | 10425 S. Painter Ave., Santa Fe Springs, CA 90670 | 2017-07-25 |
| 1326578709 | Mariah Patricia Ramirez | Counselor | 11741 Telegraph Rd Ste A-d, Santa Fe Springs, CA 90670 | 2017-06-18 |
| 1578947446 | Robynn Coleman | In Home Supportive Care | 10510 Maple Lane, Santa Fe Springs, CA 90670 | 2015-07-10 |
| 1003218314 | Norma Gonzalez | Case Manager/Care Coordinator | 11741 E. Telegraph Road, Santa Fe Springs, CA 90670 | 2014-09-17 |
| 1932510617 | Antonio Matinez Sr. | Rehabilitation Practitioner | 10012 Norwalk Blvd Suite 140, Santa Fe Springs, CA 90670 | 2014-05-15 |
| 1043633001 | Rheen Chung | Physical Therapist | 12355 Azaleas Dr, Santa Fe Springs, CA 90670 | 2014-01-28 |
| Find all providers in zip 90670 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114527041 | M. Attarian A Marriage and Family Therapy Professional Corporation | Clinic/Center | 433 N Camden Dr Ste 400, Beverly Hills, CA 90210-4408 | 2020-10-29 |
| 1295335743 | Mindful Living Psychotherapy | Clinic/Center | 24340 Ca-78, Ramona, CA 95065 | 2020-10-26 |
| 1013523174 | Vitalis Wellness Center Inc. | Clinic/Center | 1519 Constitution Blvd Apt 201, Salinas, CA 93906-3150 | 2020-09-23 |
| 1083220453 | Sasha Jackson, LLC | Clinic/Center | 480 Ridge Creek Ln, Patterson, CA 95363-8776 | 2020-09-21 |
| 1003422486 | Nicholas Patrick Brown, Do | Clinic/Center | 419 Chestnut St Apt 3, Mount Shasta, CA 96067-2918 | 2020-09-21 |
| 1609481753 | Telecare Corporation | Clinic/Center | 8471 Enterprise Way, Oakland, CA 94621-1317 | 2020-09-14 |
| 1346854973 | A Home for Our Veterans | Clinic/Center | 1811 W 236th St, Torrance, CA 90501-5742 | 2020-09-01 |
| 1184238875 | Integrative Psychotherapy Group, A Marriage and Family Therapy Corp | Clinic/Center | 311 N Robertson Blvd Ste 718, Beverly Hills, CA 90211-1705 | 2020-09-01 |
| 1962016527 | Los Angeles County Department of Mental Health | Clinic/Center | 2934 E Garvey Ave South Ste 230, West Covina, CA 91791-6101 | 2020-09-01 |
| 1649883828 | Soul Solutions, LLC | Clinic/Center | 5100 N 6th St Ste 148, Fresno, CA 93710-7514 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
| City | SANTA FE SPRINGS, |
| Zip Code | 90670 |
Please comment or provide details below to improve the information on LOS ANGELES CENTER FOR ALCOHOL AND DRUG ABUSE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.