Elijah Faggins in Los Angeles - Addiction (substance Use Disorder)

Elijah Faggins - NPI 1659571735

Elijah Faggins is a Addiction (substance Use Disorder) in Los Angeles, California. Elijah Faggins practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Elijah Faggins is 1659571735. The last update date is 2007-07-18.

Elijah Faggins's current location address is 5310 S Hoover St, Los Angeles, California. You can contact this provider via phone number 3109163532. The mailing address for Elijah Faggins is 5310 S Hoover St, Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Elijah Faggins
Address 5310 S Hoover St, Los Angeles, California
Phone Number 3109163532
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1659571735
Provider Enumeration Date 2007-07-18
Last Updated Date 2007-07-18

Provider Mailing Address Detail

Address 5310 S Hoover St
City Los Angeles
State California (CA)
Post Code 900373734
Phone Number 3109163532
Fax Number

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5698 CA CAS

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FAQs about Elijah Faggins

What is the unique 10-digit identifier code issued to Elijah Faggins by the Centers for Medicare & Medicaid Services?

The Elijah Faggins has been assigned the NPI (National Provider Identifier) 1659571735 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Elijah Faggins?

The Elijah Faggins is physically situated at 5310 S Hoover St, in the city of Los Angeles, state of CA, with the postal code 900373734.

What is Elijah Faggins's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Elijah Faggins is Addiction (substance Use Disorder), and the corresponding taxonomy classification code for this specialized field is 101Ya0400X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1659571735 to Elijah Faggins?

The Centers for Medicare & Medicaid Services originally issued the 1659571735 to Elijah Faggins on 2007-07-18.

When was the Elijah Faggins's information last updated?

The Elijah Faggins's information was last updated on 2007-07-18.

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