Dri/animo Locke 3 Charter High School | |
325 E 111th St Rms. 241 & 327 Los Angeles CA 90061-3003 | |
(323) 244-5677 | |
(323) 988-9672 |
Full Name | Dri/animo Locke 3 Charter High School |
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Speciality | Community/behavioral Health |
Location | 325 E 111th St, Los Angeles, California |
Authorized Official Name and Position | Ronda Dixon (EXECUTIVE DIRECTOR/POSITION) |
Authorized Official Contact | 3232445677 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dri/animo Locke 3 Charter High School 4715 Crenshaw Blvd #14 Los Angeles CA 90043-1233 Ph: (323) 244-5677 | Dri/animo Locke 3 Charter High School 325 E 111th St Rms. 241 & 327 Los Angeles CA 90061-3003 Ph: (323) 244-5677 |
NPI Number | 1184859548 |
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Provider Enumeration Date | 05/28/2009 |
Last Update Date | 10/14/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184859548 | NPI | - | NPPES |
197336 | Other | CA | DRUG MEDI-CAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 190622AN (California) | Primary |
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