Behavioral Intervention Specialists Of La, Llc | |
11022 Santa Monica Blvd Suite 120 Los Angeles CA 90025-7513 | |
(800) 258-0659 | |
(310) 694-3062 |
Full Name | Behavioral Intervention Specialists Of La, Llc |
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Speciality | Community/behavioral Health |
Location | 11022 Santa Monica Blvd, Los Angeles, California |
Authorized Official Name and Position | Eyal Golan (CFO) |
Authorized Official Contact | 8002580659 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Behavioral Intervention Specialists Of La, Llc 11022 Santa Monica Blvd Suite 120 Los Angeles CA 90025-7513 Ph: (800) 258-0659 | Behavioral Intervention Specialists Of La, Llc 11022 Santa Monica Blvd Suite 120 Los Angeles CA 90025-7513 Ph: (800) 258-0659 |
NPI Number | 1265719736 |
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Provider Enumeration Date | 11/10/2011 |
Last Update Date | 11/10/2011 |
Identifier | Type | State | Issuer |
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1265719736 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Secondary |
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