Chach Medical Aid

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

RI-I0509270844 Issued in CA

Legal business name

CHACH MEDICAL AID

Doing business as

Chach Medical Aid

Practice address

11633 Hawthorne Blvd Ste 215
Hawthorne, CA 90250-2322

Phone

(310) 675-7892

NPI assigned

Apr 19, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Teddy Idehen, BSC

Title

Executive Director

Phone

(310) 675-7892

Specialties & licenses 1

Addresses

Other names 1

• Chach Medical Aid Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801013990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11633 HAWTHORNE BLVD STE 215",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502322",
            "telephone_number": "310-675-7892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11633 HAWTHORNE BLVD STE 215",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502322",
            "telephone_number": "310-675-7892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHACH MEDICAL AID",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IDEHEN",
        "authorized_official_first_name": "TEDDY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "310-675-7892",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BSC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "RI-I0509270844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chach Medical Aid",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cecille Ho DDS, Inc (EA Kids Dental Care)
• Jesus Manuel Cejudo, COTA/L
• Centro Medico Inc.
• Century Eye Care Medical Center, Inc. (Century Eye Care)
• Celine Heather Cerda, RN
• Navneet Chagger, FDN-P
• Blair Marie Chambers, RN
• Jennifer R. Chan, M.D.
• Robert Lance Charet, MD
• Charles L. Foster Jr. DDS Inc. (Easy and Affordable Kids Dental Care)

• Addiction (Substance Use Disorder) Counselor in Hawthorne, CA
• Providers in Hawthorne, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.