Dominion Alcohol & Drug Program

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

NONE Issued in CA

Legal business name

DOMINION ALCOHOL & DRUG PROGRAM

Practice address

5178 W Pico Blvd
Los Angeles, CA 90019-4134

Phone

(323) 933-1800

NPI assigned

Aug 16, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Miesha D Price, MS

Title

Executive Director

Phone

(323) 933-1800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187222400000",
    "number": "1851583439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5178 W. PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900194134",
            "telephone_number": "323-933-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5178 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900194134",
            "telephone_number": "323-933-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION ALCOHOL & DRUG PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-08-16",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "MIESHA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "323-933-1800",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "NONE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberto Dominguez, MFT
• Rose Dominguez, CADAC
• Rosie V Dominguez, LCSW
• Stefie C Dominguez, AMFT
• Steve Dominguez
• Georgina Dominique
• Sunil R Dommaraju, MD
• Rochelle Ann Domulot
• Don Mungcal DDS Brentwood Inc. (Brentwood Dental Care)
• Aimee Donabedian, MS CF SLP

• Addiction (Substance Use Disorder) Counselor in Los Angeles, CA
• Providers in Los Angeles, 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 16, 2007; 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.