DUAL DIAGNOSIS ASSESSMENT AND TREATMENT CENTER, INC. (NPI# 1841519121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841519121 |
| Entity Type | Organization |
| Organization Name | DUAL DIAGNOSIS ASSESSMENT AND TREATMENT CENTER, INC. |
| Practice Address |
10500 Yukon Ave Inglewood CA 90303-2003 |
| 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 |
| 1396064671 | Dual Diagnosis Assessment and Treatment Center, Inc. | Clinic/Center | 9330 S 8th Ave, Inglewood, CA 90305-2914 | 2010-05-25 |
| 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 |
| 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 |
10500 YUKON AVE |
| City | INGLEWOOD |
| State | CA |
| Zip Code | 90303-2003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982815809 | Development Specialty Projects, Inc. | Clinic/Center | 10500 Yukon Ave, Inglewood, CA 90303-2003 | 2007-05-24 |
| 1669800827 | New Hope Drug and Alcohol Treatment, Inc | Community/Behavioral Health | 10500 Yukon Ave, North Campus, Inglewood, CA 90303-2003 | 2013-10-28 |
| 1730517467 | New Hope Drug and Alcohol Treatment, Inc | Community/Behavioral Health | 10500 Yukon Ave, Inglewood, CA 90303-2003 | 2013-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972085983 | Jennese Bacon | Specialist/Technologist | 10932 Casimir Ave, Inglewood, CA 90303 | 2018-09-06 |
| 1174032965 | Billy Campbell | Respiratory Therapist, Registered | 11800 Lemoli Ave, Inglewood, CA 90303 | 2017-09-25 |
| 1801347307 | Michelle Adams | Social Worker | 2930 W. Imperial Hwy., Ste. 310, Inglewood, CA 90303 | 2016-10-19 |
| 1740657345 | Raiji Gaines I | Counselor | 2030 W Imperial Hwy Suite 511, Inglewood, CA 90303 | 2015-08-31 |
| 1427336221 | Aaa Dentistry Center | Dentist | 2646 West Imperial Hwy, Inglewood, CA 90303 | 2011-07-27 |
| 1275845232 | Leah Aguirre Montoya | Registered Nurse | 3451 W. Century Blvd., Suite #b-1, Inglewood, CA 90303 | 2010-07-07 |
| 1609008945 | Olawumi Rotimi | Counselor | 3211 West Imperila Hiighway, 3211 West Imperial Highway, Inglewood, CA 90303 | 2009-08-20 |
| 1568694289 | Philip Michael Bockarie | Counselor | 3211 West Imperial Highway, Inglewood, CA 90303 | 2009-08-13 |
| 1942407960 | Los Angeles Drug Treatment Center | Counselor | 3211 West Imperial Hwy, Same As Mailing Address, Inglewood, CA 90303 | 2007-07-02 |
| 1700096369 | Development Specialty Projects, Inc. | Clinic/Center | 3200 West 104 St, Ingelwood, CA 90303 | 2007-05-23 |
| Find all providers in zip 90303 | ||||
| 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 |
| 1396064671 | Dual Diagnosis Assessment and Treatment Center, Inc. | Clinic/Center | 9330 S 8th Ave, Inglewood, CA 90305-2914 | 2010-05-25 |
| 1770802043 | Dual Diagnosis Assessment and Treatment Center | Clinic/Center | 441 W Hillcrest Blvd, Inglewood, CA 90301-2521 | 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.