| Ismael Vidrio Ii, SUDRC #18885 | |
|
13106 Woodridge Ave, La Mirada, CA 90638-1755 | |
| (562) 455-5251 | |
| Not Available |
| Full Name | Ismael Vidrio Ii |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 13106 Woodridge Ave, La Mirada, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730910696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 18885 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ismael Vidrio Ii, SUDRC #18885 13106 Woodridge Ave, La Mirada, CA 90638-1755 Ph: (562) 455-5251 | Ismael Vidrio Ii, SUDRC #18885 13106 Woodridge Ave, La Mirada, CA 90638-1755 Ph: (562) 455-5251 |
Ms. Amy Eddins, M.A Counselor Medicare: Not Enrolled in Medicare Practice Location: 14912 Richvale Dr, La Mirada, CA 90638 Phone: 702-595-4419 | |
Isabel Luk, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13710 La Mirada Blvd, La Mirada, CA 90638 Phone: 562-943-0195 | |
Jeannie S Kim, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13510 Meganwood Pl, La Mirada, CA 90638 Phone: 562-943-1616 | |
Stephanie Arevalo, Counselor Medicare: Medicare Enrolled Practice Location: 15783 Harshaw Pl, La Mirada, CA 90638 Phone: 714-603-6063 | |
Sandra Mims, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14238 Imperial Hwy, La Mirada, CA 90638 Phone: 562-946-1587 | |
Michael Rosa, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14240 East Imperial Highway, La Mirada, CA 90638 Phone: 562-946-1587 Fax: 562-946-5740 | |
Ruth Antoinette Johnson, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 14240 Imperial Hwy, La Mirada, CA 90638 Phone: 562-946-1587 Fax: 562-946-5740 |