| Children's Bureau Of Southern California-oakwood | |
|
3910 Oakwood Ave Los Angeles CA 90004-3413 | |
| (323) 953-7350 | |
| (323) 661-5046 |
| Full Name | Children's Bureau Of Southern California-oakwood |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3910 Oakwood 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-oakwood 3910 Oakwood Ave Los Angeles CA 90004-3413 Ph: (323) 953-7350 | Children's Bureau Of Southern California-oakwood 3910 Oakwood Ave Los Angeles CA 90004-3413 Ph: (323) 953-7350 |
| NPI Number | 1174659957 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 11/15/2023 |
| Certification Date | 11/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174659957 | NPI | - | NPPES |
| 7300A | Other | CA | DMH REPORTING UNIT |
| 00668 | Other | CA | LEGAL ENTITY NUMBER |
| 00007300 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (California) | Primary |
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