Michael Udo D'Agostin in Sherman Oaks - Addiction (substance Use Disorder)

Michael Udo D'Agostin - NPI 1851424345

Michael Udo D'Agostin is a Addiction (substance Use Disorder) in Sherman Oaks, California. Michael Udo D'Agostin practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Michael Udo D'Agostin is 1851424345. The last update date is 2011-07-29.

Michael Udo D'Agostin's current location address is 13244 Cumpston St, Sherman Oaks, California. You can contact this provider via phone number 8189978039 and fax number 8183761077. The mailing address for Michael Udo D'Agostin is 13244 Cumpston St, Sherman Oaks, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Udo D'Agostin
Address 13244 Cumpston St, Sherman Oaks, California
Phone Number 8189978039
Fax Number 8183761077
Sole Proprietor Y
Credentials PSYD

NPI Number Detail

NPI Number 1851424345
Provider Enumeration Date 2007-03-13
Last Updated Date 2011-07-29

Provider Mailing Address Detail

Address 13244 Cumpston St
City Sherman Oaks
State California (CA)
Post Code 914016008
Phone Number 8189978039
Fax Number 8183761077

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No A3555189
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Michael Udo D'Agostin

What is the unique provider identifier assigned to Michael Udo D'Agostin?

The Michael Udo D'Agostin has been issued the NPI (National Provider Identifier) 1851424345 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Michael Udo D'Agostin is physically located?

The Michael Udo D'Agostin is physically situated at the following address: 13244 Cumpston St, Sherman Oaks, CA, 914016008.

What is Michael Udo D'Agostin's specialized field of practice, and what is the corresponding taxonomy classification code?

The Michael Udo D'Agostin's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.

On what date did the Centers for Medicare & Medicaid Services issue the 1851424345 to Michael Udo D'Agostin?

The Michael Udo D'Agostin received its 1851424345 assignment from the Centers for Medicare & Medicaid Services on 2007-03-13.

When was the information regarding Michael Udo D'Agostin most recently updated?

The details pertaining to the Michael Udo D'Agostin, including its address, specialty, and other relevant information, were last refreshed on 2011-07-29.

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