CorpID/LocID

Practitioner List:

 ADDICTION RESEARCH AND TREATMENT, INC.
 11900 South Avalon Boulevard, Suite 200,
 Los Angeles, CA  90061

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First NameLast NamePractitioner TypeNPICalifornia License NumberCalifornia License TypeCultural Competence Training
JACKAZAD Physician (MD or DO) 1841489440A54433Medical Board of California (MD or DO)Yes
JANIEMORTON Licensed Eligible Practitioner working under the supervision of a Licensed Clinician 1689858375161435 Yes
TYKIESMAYS Licensed Eligible Practitioner working under the supervision of a Licensed Clinician 1083353734722599 Yes