Individual provider · Type 1 NPI
Cara Stephanie Kenda, NURSE LVN
Methadone Clinic · Los Angeles, CA
NPI number
1972196152
Active
Practice location
5235 W Sunset Blvd
Los Angeles, CA 90027-5709
Fax (323) 660-0771
Mailing address
20008 Gilbert Dr
Canyon Country, CA 91351-4810
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Methadone Clinic Primary | 261QM2800X | 0002704429-0001-6 (CA) |
Methadone Clinic: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
About NPI 1972196152
Cara Stephanie Kenda, NURSE LVN's National Provider Identifier is 1972196152, issued on Feb 18, 2021. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in Los Angeles, CA. The record was last updated on Feb 18, 2021.