Provider Demographics
NPI:1992866974
Name:U. S. HEALTHWORKS
Entity type:Organization
Organization Name:U. S. HEALTHWORKS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADDICTIONIST/OCCUPATIONAL MEDICINE
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:COLE
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:213-500-2246
Mailing Address - Street 1:841 BELVIDERE ST
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91104-3724
Mailing Address - Country:US
Mailing Address - Phone:626-794-8812
Mailing Address - Fax:
Practice Address - Street 1:390 N. SEPULVEDA BLVD
Practice Address - Street 2:1000
Practice Address - City:EL SEGUNDO
Practice Address - State:CA
Practice Address - Zip Code:90245
Practice Address - Country:US
Practice Address - Phone:310-640-9911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2009-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14784261QM2800X, 261QX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine
No261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone