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NICO TANK
NPI 1114433927
Counselor - Addiction (Substance Use Disorder) in La Puente, CA

Active since December 18, 2017
15229 AMAR RD, LA PUENTE, CA 91744(626) 855-5090 Get Directions Write a Review

NPPES record last updated: December 18, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nico Tank NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICO TANK (NPI 1114433927) is an individual addiction (substance use disorder) provider in La Puente, California, licensed in California (R1268591017) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1114433927
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameNICO TANK
Location Address15229 AMAR RDLa Puente, CA 91744-2066
Mailing Address4019 3/4 Muscatel AveRosemead, CA 91770-1349 · (626) 615-3568
Phone(626) 855-5090
Sole ProprietorNo
Enumeration DateDecember 18, 2017
✔ NPI 1114433927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · R1268591017
15229 AMAR RD, La Puente, CA 91744
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FRANCISCA ARIAS
Licensed Vocational Nurse
15229 AMAR RD
LA PUENTE, CA 91744
Los Angeles County (626) 855-5090
BAART BEHAVIORAL HEALTH SERVICES, INC.
Clinic/Center (Rehabilitation, Substance Use Disorder)
15229 AMAR RD
LA PUENTE, CA 91744
Los Angeles County (626) 855-5090
MR. MARIO ISRAEL MORENO
Counselor (Addiction (Substance Use Disorder))
15229 AMAR RD
LA PUENTE, CA 91744
Los Angeles County (626) 855-5090
MRS. ELSIE MARIE PRIDE LMFT
Marriage & Family Therapist
15229 AMAR RD
LA PUENTE, CA 91744
Los Angeles County (626) 855-5090
ANNMARIE MARTINEZ
Licensed Vocational Nurse
15229 AMAR RD
LA PUENTE, CA 91744
Los Angeles County (626) 855-5090
BRENDA TORRES
Counselor (Addiction (Substance Use Disorder))
15229 AMAR RD
LA PUENTE, CA 91744
Los Angeles County (626) 855-5090
MS. MARSHA G DUQUE LVN
Physician Assistant
15229 AMAR RD
LA PUENTE, CA 91744
Los Angeles County (626) 855-5090
PAMELA JOYCE FLENNORY
Counselor (Addiction (Substance Use Disorder))
15229 AMAR RD
LA PUENTE, CA 91744
Los Angeles County (626) 855-5090

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nico Tank's NPI number?

The NPI number for Nico Tank is 1114433927. It was assigned to this individual provider in the NPPES registry on December 18, 2017.

Where is Nico Tank located?

Nico Tank practices at 15229 Amar Rd, La Puente, CA 91744. The listed phone number is (626) 855-5090.

What is Nico Tank's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Nico Tank was last updated on December 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.