| Children's Bureau Of Southern California, Magnolia Place | |
|
1910 Magnolia Ave Los Angeles CA 90007-1220 | |
| (213) 342-0100 | |
| Not Available |
| Full Name | Children's Bureau Of Southern California, Magnolia Place |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1910 Magnolia Ave, Los Angeles, California |
| Authorized Official Name and Position | Leticia H Juarez (QA ADMINISTRATIVE MANAGER) |
| Authorized Official Contact | 2133420150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Bureau Of Southern California, Magnolia Place 1910 Magnolia Ave Los Angeles CA 90007-1220 Ph: (213) 342-0100 | Children's Bureau Of Southern California, Magnolia Place 1910 Magnolia Ave Los Angeles CA 90007-1220 Ph: (213) 342-0100 |
| NPI Number | 1356679658 |
|---|---|
| Provider Enumeration Date | 11/24/2009 |
| Last Update Date | 11/15/2023 |
| Certification Date | 11/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356679658 | NPI | - | NPPES |
| 0000007782 | Medicaid | CA |
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