Los Angeles Wings Of Faith in Los Angeles - Community/behavioral Health
Los Angeles Wings Of Faith - NPI 1386868685
Los Angeles Wings Of Faith is a Community/behavioral Health in Los Angeles, California. Los Angeles Wings Of Faith practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Los Angeles Wings Of Faith is 1386868685. The last update date is 2020-08-22.
Los Angeles Wings Of Faith's current location address is 9626 Avalon Blvd, Los Angeles, California. You can contact this provider via phone number 3238339719 and fax number 3237796495. The mailing address for Los Angeles Wings Of Faith is 9626 Avalon Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Los Angeles Wings Of Faith |
|---|---|
| Address | 9626 Avalon Blvd, Los Angeles, California |
| Phone Number | 3238339719 |
| Fax Number | 3237796495 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Jackson C Larry |
| Telephone Number | 3238332719 |
NPI Number Detail
| NPI Number | 1386868685 |
|---|---|
| Provider Enumeration Date | 2007-04-11 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 9626 Avalon Blvd |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900034311 |
| Phone Number | 3238339719 |
| Fax Number | 3237796495 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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What is the Los Angeles Wings Of Faith's unique identification number?
The Los Angeles Wings Of Faith has been assigned the NPI (National Provider Identifier) Number 1386868685 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Los Angeles Wings Of Faith's facilities are situated?
The facilities of Los Angeles Wings Of Faith are physically located at the following address: 9626 Avalon Blvd, Los Angeles, CA, 900034311.
What is Los Angeles Wings Of Faith's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Los Angeles Wings Of Faith is Community/behavioral Health, and the taxonomy code that categorizes this field of expertise is 251S00000X.
On what date was the 1386868685 assigned to Los Angeles Wings Of Faith?
The Los Angeles Wings Of Faith was issued its 1386868685 on 2007-04-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Los Angeles Wings Of Faith most recently updated?
The details pertaining to the Los Angeles Wings Of Faith, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.