MATTHEW LONGORIA


Address: 6956 Bertrand Ave, Reseda, CA 91335-4708
Phone: 8186544907

MATTHEW LONGORIA (NPI# 1790103372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790103372
Entity Type Individual
Full Name MATTHEW LONGORIA
Credential CADC-II, CDS
Practice Address 6956 Bertrand Ave
Reseda
CA 91335-4708
Practice Telephone 8186544907
Practice Fax Number 8185142900
Mailing Telephone 8186544907
Mailing Fax Number 8185142900
Enumeration Date 2014-04-01
Last Update Date 2018-12-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Office Location

Street Address 6956 BERTRAND AVE
City RESEDA
State CA
Zip Code 91335-4708

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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700414414 Itzel Cahuantzi Counselor 7805 Reseda Blvd Apt 314, Reseda, CA 91335-1914 2020-03-29
1235613852 Eulalia Miranda Reyes Counselor 7232 Canby Ave # 456, Reseda, CA 91335-3006 2018-09-19
1770073793 Deanna Marie Niekamp Counselor 7232 Canby Ave. #4,5,6, Reseda, CA 91335 2018-05-15
1093237919 Belinda Reser Counselor 7101 Baird St, Reseda, CA 91335 2017-07-12
1912243007 Roberto Sosa Sandoval Counselor 18553 Arminta St, Reseda, CA 91335-1834 2012-12-18
1699908053 Ramona Russum Counselor 7232 Canby Ave Ste 456, Reseda, CA 91335-3006 2009-09-01
1720238678 Rebecca Greenough Counselor 19231 Victory Bld, Suite #554, Reseda, CA 91335 2008-09-29
1780873422 Christina Ruth Fernandez Counselor 7232 Canby Ave Ste 4, Reseda, CA 91335-8143 2007-10-18
1063620532 Mohammad Farrokh Emad Counselor 7232 Camby St, Reseda, CA 91335 2007-05-18
1477608073 Victoria Temple Counselor 17851 Willard St, Reseda, CA 91335-1558 2007-01-24
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Competitor

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City RESEDA
Zip Code 91335

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Dataset Information

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.

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