| Montebello Addiction Treatment Center | |
|
420 N Montebello Blvd Ste 203 Montebello CA 90640-4274 | |
| (323) 314-9464 | |
| Not Available |
| Full Name | Montebello Addiction Treatment Center |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 420 N Montebello Blvd Ste 203, Montebello, California |
| Authorized Official Name and Position | Yenok Kopushyan (CFO) |
| Authorized Official Contact | 3233149464 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Montebello Addiction Treatment Center 420 N Montebello Blvd Ste 203 Montebello CA 90640-4274 Ph: (323) 314-9464 | Montebello Addiction Treatment Center 420 N Montebello Blvd Ste 203 Montebello CA 90640-4274 Ph: (323) 314-9464 |
| NPI Number | 1710814470 |
|---|---|
| Provider Enumeration Date | 05/06/2026 |
| Last Update Date | 05/06/2026 |
| Certification Date | 05/06/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710814470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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