Benito Moses Elias
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Lincoln Heights, CA
NPI 1992688469 · NPPES record last updated Jul 30, 2025
Key facts
- NPI
- 1992688469
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 3619 N Mission Rd
Lincoln Heights, CA 90031-3136 - Phone
- (213) 721-0010
- NPI assigned
- Jul 30, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
3619 N Mission Rd
Lincoln Heights, CA 90031-3136
Mailing address
3619 N Mission Rd
Lincoln Heights, CA 90031-3136
Phone (213) 721-0010
Other providers in Lincoln Heights, CA
- Christopher Brandon Cossio
- Jake Davis
- John Davis
- Felix Del Prado
- Terrence Draper
- Julio Escobar
- Jose Espejo
- Mario Espinoza
- Jorge Felix
- Alberto Galvez
All providers in Lincoln Heights, CA · Addiction (Substance Use Disorder) Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.