ELADIO RUBALCAVA
NPI 1952604605
Counselor - Addiction (Substance Use Disorder) in Los Angeles, CA
Active since December 17, 2010
About Eladio Rubalcava NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELADIO RUBALCAVA (NPI 1952604605) is an individual addiction (substance use disorder) provider in Los Angeles, California and active in the NPI registry since December 2010.
NPPES Registry Identity
NPI1952604605
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameELADIO RUBALCAVA
Location Address3125 N BROADWAYLos Angeles, CA 90031
Mailing Address3513 Opal St.Los Angeles, CA 90023 · (323) 222-4591
Phone(323) 222-4591
Fax(323) 222-4614
Sole ProprietorYes
Enumeration DateDecember 17, 2010
Last NPPES UpdateFebruary 9, 2011
✔ NPI 1952604605 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
3125 N BROADWAY, Los Angeles, CA 90031
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Counselor (Addiction (Substance Use Disorder))
3125 N BROADWAY
LOS ANGELES, CA 90031
LOS ANGELES, CA 90031
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1952604605, enumerated as an "individual" on December 17, 2010.
The provider is located at 3125 N BROADWAY LOS ANGELES, CA 90031 and the phone number is (323) 222-4591.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
