Provider Demographics
NPI:1700090834
Name:ALCOHOL AND DRUG PROGRAM ADMINISTRATION
Entity Type:Organization
Organization Name:ALCOHOL AND DRUG PROGRAM ADMINISTRATION
Other - Org Name:LOS ANGELES COUNTY - DEPARTMENT OF PUBLIC HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:OGAWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-299-4547
Mailing Address - Street 1:1000 S FREMONT AVE
Mailing Address - Street 2:BUILDING A-9, EAST 3RD FLOOR
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91803-8800
Mailing Address - Country:US
Mailing Address - Phone:626-299-4547
Mailing Address - Fax:626-299-7227
Practice Address - Street 1:1000 S FREMONT AVE
Practice Address - Street 2:BUILDING A-9, EAST 3RD FLOOR
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91803-8800
Practice Address - Country:US
Practice Address - Phone:626-299-4547
Practice Address - Fax:626-299-7227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA196920OtherSTATE PROVIDER NUMBER