Emq Hollygrove | |
815 N El Centro Ave Los Angeles CA 90038-3805 | |
(323) 463-2119 | |
(323) 463-0619 |
Full Name | Emq Hollygrove |
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Speciality | Community/behavioral Health |
Location | 815 N El Centro Ave, Los Angeles, California |
Authorized Official Name and Position | Shawn Caracoza (DIRECTOR) |
Authorized Official Contact | 3234632119 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Emq Hollygrove 815 N El Centro Ave Los Angeles CA 90038-3805 Ph: (323) 463-2119 | Emq Hollygrove 815 N El Centro Ave Los Angeles CA 90038-3805 Ph: (323) 463-2119 |
NPI Number | 1003003542 |
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Provider Enumeration Date | 09/28/2007 |
Last Update Date | 02/05/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003003542 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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