Los Angeles County Dept Of Mental Health

NPI 1013035062 - Clinic/Center - 261QM0850X

NPI Details
NPI 1013035062
Enumeration Date 03/27/2007
Last Updated 07/15/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ANTHONY DALE ANTHONY
Position PMH NURSE PRACTITIONER
Phone (323) 290-5804
Fax (323) 290-3236
Practice Location
3751 STOCKER ST
LOS ANGELES CA, 90008-5101, US
Phone (323) 290-5804
Fax (323) 290-3236
Business Location
3751 STOCKER ST
LOS ANGELES CA, 90008-5101, US
Phone (323) 290-5804
Fax (323) 290-3236
Toxanomy
Taxonomy Code 261QM0850X
License State California
License Number 17997
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According to our database, Los Angeles County Dept Of Mental Health NPI is 1013035062, taxonomy code is 261QM0850X and license number is 17997, license state is located at California. Los Angeles County Dept Of Mental Health physically located at 3751 Stocker St, Los Angeles CA, 90008-5101. NPI Number 1033115704 has the healthcare provider type.

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1013035062 NPI number is provided on an as is basis without warranty of any kind. 1013035062 is maintained by the National Plan & Provider Enumeration System. The contents of Los Angeles County Dept Of Mental Health are for informational purposes only.