| The Coalition Healthcare Llc | |
|
2434 Lincoln Blvd Venice CA 90291-6034 | |
| (224) 307-0600 | |
| Not Available |
| Full Name | The Coalition Healthcare Llc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 2434 Lincoln Blvd, Venice, California |
| Authorized Official Name and Position | Hayden Moser (BILLING DIRECTOR) |
| Authorized Official Contact | 9494466280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Coalition Healthcare Llc 2434 Lincoln Blvd Venice CA 90291-6034 Ph: (224) 307-0600 | The Coalition Healthcare Llc 2434 Lincoln Blvd Venice CA 90291-6034 Ph: (224) 307-0600 |
| NPI Number | 1417741794 |
|---|---|
| Provider Enumeration Date | 04/09/2025 |
| Last Update Date | 04/09/2025 |
| Certification Date | 04/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417741794 | 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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