DUAL DIAGNOSIS ASSESSMENT AND TREATMENT CENTER, INC. (NPI# 1396064671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396064671 |
| Entity Type | Organization |
| Organization Name | DUAL DIAGNOSIS ASSESSMENT AND TREATMENT CENTER, INC. |
| Practice Address |
9330 S 8th Ave Inglewood CA 90305-2914 |
| Mailing Address |
19300 Rinaldi St Ste. 8270 Northridge CA 91326-1651 |
| Practice Telephone | 3105904537 |
| Practice Fax Number | 3105904538 |
| Mailing Telephone | 3105904537 |
| Mailing Fax Number | 3105904538 |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2010-05-25 |
| Authorized Official Name | EDNA MILLER (DIRECTOR) |
| Authorized Official Telephone | 3105904537 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | CMM71096F | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831419886 | Dual Diagnosis Assessment and Treatment Center, Inc. | Clinic/Center | 151 North Grevillea Avenue, Inglewood, CA 90301 | 2010-06-01 |
| 1437440542 | Dual Diagnosis Assessment and Treatment Center, Inc. | Home Health | 1984 Obispo Ave, Ste. 1a, Signal Hill, CA 90755-1234 | 2011-04-22 |
| 1528366861 | Dual Diagnosis Assessment and Treatment Center, Inc. | Clinic/Center | 16550 Ventura Blvd, Encino, CA 91436-2004 | 2011-03-10 |
| 1124347406 | Dual Diagnosis Assessment and Treatment Center, Inc. | Clinic/Center | 2265 E 103rd St, Los Angeles, CA 90002-3132 | 2010-05-25 |
| 1841519121 | Dual Diagnosis Assessment and Treatment Center, Inc. | Clinic/Center | 10500 Yukon Ave, Inglewood, CA 90303-2003 | 2010-05-25 |
| 1679892947 | Dual Diagnosis Assessment and Treatment Center, Inc. | Clinic/Center | 5354 W 64th St, Inglewood, CA 90302-1042 | 2010-05-25 |
| 1356660633 | Dual Diagnosis Assessment and Treatment Center, Inc. | Clinic/Center | 601 S Acacia Ave, Compton, CA 90220-3702 | 2010-05-25 |
| Street Address |
9330 S 8TH AVE |
| City | INGLEWOOD |
| State | CA |
| Zip Code | 90305-2914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538702683 | Mateasa D. Griffin | Technician | 3017 W. 82nd Street, Inglewood, CA 90305 | 2019-10-22 |
| 1699165951 | Nancy Lan Some | Nurse Practitioner | 8444 Crenshaw Blvd., Inglewood, CA 90305 | 2015-01-26 |
| 1427464320 | Ebony Sims | Dental Assistant | 3500 W Manchester Blvd, Unit #131, Inglewood, CA 90305 | 2014-07-11 |
| 1124229653 | Personal Mobility Services | Private Vehicle | 9705 S.4th Ave., Inglewood, CA 90305 | 2007-05-31 |
| 1982823399 | Earnestine Bernice White | Counselor | 3425 Manchester Blvd., Inglewood, CA 90305 | 2007-04-24 |
| 1972721272 | Larry J Strawn Jr. | Dentist | 8475 So Van Ness Ave, #106, Inglewood, CA 90305 | 2007-04-23 |
| 1114086105 | Lucas Health Partners, LLC | Clinic/Center | 3216 W. Manchester Blvd., Inglewood, CA 90305 | 2006-12-06 |
| 1861760456 | Marquita Jones | Counselor | 8619 Crenshaw Blvd, Inglewood, CA 90305 | 2011-12-09 |
| 1508147125 | Care Plus Family Dental | Clinic/Center | 8615 Crenshaw Blvd, #c, Inglewood, CA 90305 | 2011-09-09 |
| 1689811713 | Marva Diane Connor | Social Worker | 2500 W Manchester Blvd, Inglewood, AZ 90305 | 2009-01-12 |
| Find all providers in zip 90305 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831419886 | Dual Diagnosis Assessment and Treatment Center, Inc. | Clinic/Center | 151 North Grevillea Avenue, Inglewood, CA 90301 | 2010-06-01 |
| 1770802043 | Dual Diagnosis Assessment and Treatment Center | Clinic/Center | 441 W Hillcrest Blvd, Inglewood, CA 90301-2521 | 2010-05-25 |
| 1841519121 | Dual Diagnosis Assessment and Treatment Center, Inc. | Clinic/Center | 10500 Yukon Ave, Inglewood, CA 90303-2003 | 2010-05-25 |
| 1679892947 | Dual Diagnosis Assessment and Treatment Center, Inc. | Clinic/Center | 5354 W 64th St, Inglewood, CA 90302-1042 | 2010-05-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.