Dept. Of Mental Health
Specialty details in registry · Los Angelesa, CA
At a glance
1720 E. 120Th St, Los Angelesa, CA 90059
NPPES record updated Mar 11, 2010. Public records can lag behind changes at a practice.
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Practice location
1720 E. 120Th StLos Angelesa, CA 90059
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 261QM0801X
- Enumeration date
- Mar 11, 2010
- Record updated
- Mar 11, 2010
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
261QM0801X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1720 E. 120Th StLos Angelesa, CA 90059
- Phone
- (310) 668-5150
- Fax
- (310) 223-0695
Mailing address
1720 E 120TH STLOS ANGELES, CA 900593052
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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