Individual provider · Type 1 NPI

Bryce T. Ronquillo

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1073101689 Active

Practice location

225 N Mariposa Ave
Los Angeles, CA 90004-4509

Call (213) 736-5441 Map

Fax (213) 736-5582

Mailing address

5233 E Beverly Blvd
Los Angeles, CA 90022-2020

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1073101689

Bryce T. Ronquillo's National Provider Identifier is 1073101689, issued on Jan 8, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Jan 8, 2021.