Individual provider · Type 1 NPI

Edgar Amezquita

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

NPI number 1194027938 Active

Practice location

11905 S Central Ave, Suite Number 204-205
Los Angeles, CA 90059-2897

Fax (323) 249-8367

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 1194027938

Edgar Amezquita's National Provider Identifier is 1194027938, issued on Nov 30, 2010. 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 Nov 30, 2010.