Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DOUGLAS ANTHONY TUCKER SR., MHS CATC IV 155671
Active Sole ProprietorMR. DOUGLAS ANTHONY TUCKER SR., MHS CATC IV 155671 is a Substance Abuse Rehabilitation Facility healthcare provider located in SANTA ANA, California. NPI 1376901017 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Rehabilitation Facility · SANTA ANA, CA
Registration Details
- NPI Number
- 1376901017
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 9, 2016 (10.542359154984 yrs)
- Last Updated
- Feb 9, 2016
- License
-
300033CN (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1207 E FRUIT STSANTA ANA, CA, 927014206Browse CA providers · Browse ZIP 92701
- Phone
- 7149539373
- Fax
- 7149537573
- Primary Specialty
-
Substance Abuse Rehabilitation Facility
324500000X
Other Substance Abuse Rehabilitation Facility Providers in SANTA ANA, CA
| Name | Credential | NPI |
|---|---|---|
| GUADALUPE OCAMPO | — | 1194117689 |
| KELLY TANACEA | — | 1992237507 |
| DOLORES MARY BENISON-GLOVER | LVN | 1144827601 |
| PARIS SUPRY | RAD-T | 1780300509 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.