Larry Soderstrom in Canoga Park - Addiction (substance Use Disorder)
Larry Soderstrom - NPI 1851580179
Larry Soderstrom is a Addiction (substance Use Disorder) in Canoga Park, California. Larry Soderstrom practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Larry Soderstrom is 1851580179. The last update date is 2010-04-05.
Larry Soderstrom's current location address is 7246 Remmet Ave, Canoga Park, California. You can contact this provider via phone number 8182060360 and fax number 8182060370. The mailing address for Larry Soderstrom is 7246 Remmet Ave, Canoga Park, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Soderstrom |
|---|---|
| Address | 7246 Remmet Ave, Canoga Park, California |
| Phone Number | 8182060360 |
| Fax Number | 8182060370 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1851580179 |
|---|---|
| Provider Enumeration Date | 2007-10-23 |
| Last Updated Date | 2010-04-05 |
Provider Mailing Address Detail
| Address | 7246 Remmet Ave |
|---|---|
| City | Canoga Park |
| State | California (CA) |
| Post Code | 913031531 |
| Phone Number | 8182060360 |
| Fax Number | 8182060370 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Larry Soderstrom by the Centers for Medicare & Medicaid Services?
The Larry Soderstrom has been issued the NPI (National Provider Identifier) 1851580179 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Larry Soderstrom is located?
The Larry Soderstrom is situated at the following address: 7246 Remmet Ave, Canoga Park, CA, 913031531.
What is Larry Soderstrom's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Larry Soderstrom is Addiction (substance Use Disorder), and the taxonomy classification code that categorizes this area of expertise is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1851580179 to Larry Soderstrom?
The Centers for Medicare & Medicaid Services assigned the 1851580179 to Larry Soderstrom on 2007-10-23.
As of what date were the details pertaining to Larry Soderstrom last refreshed?
The information related to the Larry Soderstrom, including its address, specialty, and other relevant details, was last updated on 2010-04-05.
NPI Number: 1720081763
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