| Didi Hirsch Cmhc-mar Vista | |
|
12420 Venice Blvd Suite 200 Los Angeles CA 90066-3840 | |
| (310) 751-1200 | |
| (310) 398-0312 |
| Full Name | Didi Hirsch Cmhc-mar Vista |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12420 Venice Blvd, Los Angeles, California |
| Authorized Official Name and Position | Kita Curry (PRESIDENT AND CEO) |
| Authorized Official Contact | 3107515423 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Didi Hirsch Cmhc-mar Vista 4760 Sepulveda Blvd Culver City CA 90230-4820 Ph: (310) 390-6612 | Didi Hirsch Cmhc-mar Vista 12420 Venice Blvd Suite 200 Los Angeles CA 90066-3840 Ph: (310) 751-1200 |
| NPI Number | 1780715771 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 02/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780715771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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