Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ISMAEL VIDRIO II, SUDRC #18885
ActiveISMAEL VIDRIO II, SUDRC #18885 is a Addiction (Substance Use Disorder) Counselor healthcare provider located in LA MIRADA, California. NPI 1730910696 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · LA MIRADA, CA
Registration Details
- NPI Number
- 1730910696
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 12, 2024 (2.0015050334045 yrs)
- Last Updated
- Aug 12, 2024
- License
-
18885 (CA)
Practice Information
- Address
-
13106 WOODRIDGE AVELA MIRADA, CA, 906381755Browse CA providers · Browse ZIP 90638
- Phone
- 5624555251
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in LA MIRADA, CA
| Name | Credential | NPI |
|---|---|---|
| MR. LOUIE MARTIN GUNDERSON | — | 1982754479 |
| LESVY JACKELINE GRANILLO | — | 1871786038 |
| MYRIAM FORSTER | B.A. | 1508050519 |
| MARIA TERRACES | — | 1548456916 |
| MS. BRITTANY BOURNE | — | 1366798480 |
| MAYELA LOPEZ | CATC-I | 1699135343 |
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.