Asc Treatment Group

NPI 1003942970 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1003942970
Enumeration Date 02/26/2007
Last Updated 07/28/2014
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DONETTA DONETTA
Position ADMINISTRATOR
Phone (323) 318-2520
Fax (323) 318-2523
Practice Location
2057 S ATLANTIC BLVD
COMMERCE CA, 90040-1348, US
Phone (323) 318-2520
Fax (323) 318-2523
Business Location
2457 ENDICOTT ST
LOS ANGELES CA, 90032-3047, US
Phone (323) 227-5252
Fax (323) 227-9032
Toxanomy
Taxonomy Code 251S00000X
License State California
License Number MFC38512
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According to our database, Asc Treatment Group NPI is 1003942970, taxonomy code is 251S00000X and license number is MFC38512, license state is located at California. Asc Treatment Group physically located at 2057 S Atlantic Blvd, Commerce CA, 90040-1348. NPI Number 1033115704 has the healthcare provider type.

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1003942970 NPI number is provided on an as is basis without warranty of any kind. 1003942970 is maintained by the National Plan & Provider Enumeration System. The contents of Asc Treatment Group are for informational purposes only.