Countyof Los Angeles

NPI 1104259936 - Pediatrics - 208000000X

NPI Details
NPI 1104259936
Enumeration Date 08/15/2013
Last Updated 08/15/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name ART ART
Position CBO MANAGER
Phone (323) 890-7509
Fax
Practice Location
5555 FERGUSON DR
COMMERCE CA, 90022-5164, US
Phone (323) 890-7509
Fax
Business Location
501 N GLENDALE AVE
GLENDALE CA, 91206-3312, US
Phone
Fax
Toxanomy
Taxonomy Code 208000000X
License State
License Number
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According to our database, Countyof Los Angeles NPI is 1104259936, taxonomy code is 208000000X Countyof Los Angeles physically located at 5555 Ferguson Dr, Commerce CA, 90022-5164. NPI Number 1033115704 has the healthcare provider type.

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1104259936 NPI number is provided on an as is basis without warranty of any kind. 1104259936 is maintained by the National Plan & Provider Enumeration System. The contents of Countyof Los Angeles are for informational purposes only.