Organization · Type 2 NPI
El Dorado Community Service Center
Primary Care Clinic/Center · Venice, CA
NPI number
1114096872
Active
Practice location
717 Lincoln Blvd
Venice, CA 90291-2845
Fax (310) 399-9678
Mailing address
PO Box 801809
Valencia, CA 91380-1809
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 960001025 (CA) |
Primary Care Clinic/Center: Definition to come...
21 other providers at this address
- American Health Services LLCMethadone Clinic Venice, CA NPI 1184179525
- American Health Services LLCMethadone Clinic Venice, CA NPI 1366512550
- Alexis Ledesma ILicensed Vocational Nurse Venice, CA NPI 1033052147
- Antonio De Jesus SanchezAddiction (Substance Use Disorder) Counselor Venice, CA NPI 1194323659
- Blanca RomeroAddiction (Substance Use Disorder) Counselor Venice, CA NPI 1508053281
- Cesia Delacruz, LVNLicensed Vocational Nurse Venice, CA NPI 1588016489
- Daniel BolanderAddiction (Substance Use Disorder) Counselor Venice, CA NPI 1730636598
- Denise WilsonCounselor Venice, CA NPI 1811149503
- Edward Michael Ramirez Jr.Addiction (Substance Use Disorder) Counselor Venice, CA NPI 1811599624
- Erica Lee WyattLicensed Vocational Nurse Venice, CA NPI 1730011057
- Estefania Bernabe, RADTAddiction (Substance Use Disorder) Counselor Venice, CA NPI 1184144826
- Fargo Michael Livingston, B.A.Community Health Worker Venice, CA NPI 1740562081
About NPI 1114096872
El Dorado Community Service Center's National Provider Identifier is 1114096872, issued on Nov 7, 2006. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Venice, CA. The record was last updated on Jan 31, 2017.