Queenscare

NPI 1518066299 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1518066299
Enumeration Date 09/21/2006
Last Updated 08/07/2015
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name BARBARA B BARBARA
Position PRESIDENT AND CEO
Phone (323) 669-4355
Fax (323) 953-7300
Practice Location
4618 FOUNTAIN AVE
LOS ANGELES CA, 90029-1977, US
Phone (323) 669-4355
Fax (323) 953-7300
Business Location
950 S GRAND AVE
2ND FLOOR SOUTH
LOS ANGELES CA, 90015-4202, US
Phone (323) 669-4302
Fax (323) 953-6244
Toxanomy
Taxonomy Code 251S00000X
License State
License Number
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According to our database, Queenscare NPI is 1518066299, taxonomy code is 251S00000X Queenscare physically located at 4618 Fountain Ave, Los Angeles CA, 90029-1977. NPI Number 1033115704 has the healthcare provider type.

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1518066299 NPI number is provided on an as is basis without warranty of any kind. 1518066299 is maintained by the National Plan & Provider Enumeration System. The contents of Queenscare are for informational purposes only.