Wellness Center At Jefferson High School

NPI 1588908305 - Clinic/Center - 261QF0400X

NPI Details
NPI 1588908305
Enumeration Date 11/16/2012
Last Updated 11/16/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name RICHARD A RICHARD
Position CHIEF EXECUTIVE OFFICER
Phone (323) 908-4200
Fax (323) 908-4256
Practice Location
3410 S. HOOPER AVE.
LOS ANGELES CA, 90011-2161, US
Phone (323) 908-4200
Fax (323) 908-4256
Business Location
4425 S CENTRAL AVE
LOS ANGELES CA, 90011-3629, US
Phone (323) 908-4200
Fax (323) 908-4256
Toxanomy
Taxonomy Code 261QF0400X
License State
License Number
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According to our database, Wellness Center At Jefferson High School NPI is 1588908305, taxonomy code is 261QF0400X Wellness Center At Jefferson High School physically located at 3410 S. Hooper Ave., Los Angeles CA, 90011-2161. NPI Number 1033115704 has the healthcare provider type.

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1588908305 NPI number is provided on an as is basis without warranty of any kind. 1588908305 is maintained by the National Plan & Provider Enumeration System. The contents of Wellness Center At Jefferson High School are for informational purposes only.