| Didi Hirsch Glendale Center | |
|
1540 E Colorado St Glendale CA 91205-1514 | |
| (818) 244-7257 | |
| (818) 243-5431 |
| Full Name | Didi Hirsch Glendale Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1540 E Colorado St, Glendale, California |
| Authorized Official Name and Position | Dulce M Ruiz (CONTRACTS & GRANTS MANAGER) |
| Authorized Official Contact | 3107515442 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Didi Hirsch Glendale Center 4760 Sepulveda Blvd Culver City CA 90230-4820 Ph: (310) 390-6612 | Didi Hirsch Glendale Center 1540 E Colorado St Glendale CA 91205-1514 Ph: (818) 244-7257 |
| NPI Number | 1265721708 |
|---|---|
| Provider Enumeration Date | 04/05/2011 |
| Last Update Date | 10/06/2020 |
| Certification Date | 10/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265721708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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