| Doctor Name: | MR. EDWYN ONGLAY HECTOR |
| NPI Number: | 1124371158 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 2464060 |
| Business Practice Address: | 22519 Kinard Ave Carson, CA - 907453725 |
| Business Phone Number: | 9517039561 |
| Business Fax Number: | |
| Mailing Address: | 22519 Kinard Ave, CARSON |
| State: | CA |
| Postal Code: | 907453725 |
| Phone Number: | 9517039561 |
| Fax Number: | |
| NPI Enumeration Date: | 10/15/2012 |
| NPI Last Update Date: | 10/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 2464060 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |