Individual provider · Type 1 NPI

Eladio Rubalcava

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

NPI number 1952604605 Active

Practice location

3125 N Broadway
Los Angeles, CA 90031

Call (323) 222-4591 Map

Fax (323) 222-4614

Mailing address

3513 Opal St.
Los Angeles, CA 90023

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 1952604605

Eladio Rubalcava's National Provider Identifier is 1952604605, issued on Dec 17, 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 Feb 9, 2011.