Provider Demographics
NPI:1144466871
Name:DIXON, MONICA
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:DIXON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7007 WASHINGTON AVE
Mailing Address - Street 2:240
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90602-1484
Mailing Address - Country:US
Mailing Address - Phone:562-693-0400
Mailing Address - Fax:
Practice Address - Street 1:7007 WASHINGTON AVE
Practice Address - Street 2:240
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90602-1484
Practice Address - Country:US
Practice Address - Phone:562-693-0400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-30
Last Update Date:2008-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA02870709Medicare PIN