Individual provider · Type 1 NPI
Byron Vela Gonzales
Substance Abuse Rehabilitation Facility · Los Angeles, CA
NPI number
1417494576
Active
Practice location
2307 W 6th St
Los Angeles, CA 90057-3119
Mailing address
8530 Katherine Ave
Panorama City, CA 91402-3106
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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About NPI 1417494576
Byron Vela Gonzales's National Provider Identifier is 1417494576, issued on Jan 27, 2017. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Los Angeles, CA. The record was last updated on Jan 27, 2017.