Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Immaculate Care Center Inc

Organization Addiction (Substance Use Disorder) Counselor · NPI 1275669871

Immaculate Care Center Inc is an Addiction (Substance Use Disorder) Counselor in Los Angeles, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3540 Wilshire Blvd Ste 818
Los Angeles, CA 90010-2307
Phone: (213) 383-1124
Fax: (213) 383-0261
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 190479AN (CA)

Record details

NPI number1275669871
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Godday Imakavar — Executive Director · (213) 383-1124
NPI enumeratedFebruary 26, 2007
Last updated in NPPESAugust 22, 2020
Mailing address3540 Wilshire Blvd, Suite 818, Los Angeles, CA 90010-2307

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