Crystalbell Raygoza in Pacoima - Addiction (substance Use Disorder)
Crystalbell Raygoza - NPI 1316121239
Crystalbell Raygoza is a Addiction (substance Use Disorder) in Pacoima, California. Crystalbell Raygoza practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Crystalbell Raygoza is 1316121239. The last update date is 2007-12-27.
Crystalbell Raygoza's current location address is 12543 Pierce St, Pacoima, California. You can contact this provider via phone number 8189877058. The mailing address for Crystalbell Raygoza is 12543 Pierce St, Pacoima, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Crystalbell Raygoza |
|---|---|
| Address | 12543 Pierce St, Pacoima, California |
| Phone Number | 8189877058 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1316121239 |
|---|---|
| Provider Enumeration Date | 2007-12-27 |
| Last Updated Date | 2007-12-27 |
Provider Mailing Address Detail
| Address | 12543 Pierce St |
|---|---|
| City | Pacoima |
| State | California (CA) |
| Post Code | 913311700 |
| Phone Number | 8189877058 |
| 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 197134 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Crystalbell Raygoza by the Centers for Medicare & Medicaid Services?
The Crystalbell Raygoza has been issued the NPI (National Provider Identifier) 1316121239 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Crystalbell Raygoza's facilities are situated?
The facilities of Crystalbell Raygoza are physically located at the following address: 12543 Pierce St, Pacoima, CA, 913311700.
What is the area of specialization for Crystalbell Raygoza, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Crystalbell Raygoza is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of expertise is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1316121239 to Crystalbell Raygoza?
The Crystalbell Raygoza received its 1316121239 assignment from the Centers for Medicare & Medicaid Services on 2007-12-27.
When was the information regarding Crystalbell Raygoza, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Crystalbell Raygoza, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-12-27.
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