is a Voluntary Or Charitable in Los Angeles, California. practices all healthcare services and medical treatments related to Voluntary Or Charitable. The NPI Number for is 1023228962. The last update date is .
's current location address is 5115 W Adams Blvd, Los Angeles, California. You can contact this provider via phone number 3239334391 and fax number 3239335973. The mailing address for is 5115 W Adams Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 5115 W Adams Blvd, Los Angeles, California |
| Phone Number | 3239334391 |
| Fax Number | 3239335973 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1023228962 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 5115 W Adams Blvd |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900162727 |
| Phone Number | 3239334391 |
| Fax Number | 3239335973 |
Provider's Primary Taxonomy Detail
| Speciality | Voluntary Or Charitable |
|---|---|
| Taxonomy | 251V00000X |
| Licence No | 190367AN |
|
Definition: Nonprofit health or human services agency supported by charitable donations and volunteers. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 190367AN | CA | STATE CERTIFICATION NO | |
| 6862 | CA | PROVIDER BILLING NUMBER |
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