| Homeless Outreach Program | |
|
11015 Bloomfield Ave Santa Fe Springs CA 90670-4601 | |
| (562) 906-2681 | |
| Not Available |
| Full Name | Homeless Outreach Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11015 Bloomfield Ave, Santa Fe Springs, California |
| Authorized Official Name and Position | Lydia De Leon (COUNSOLER) |
| Authorized Official Contact | 2136266411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Homeless Outreach Program 11015 Bloomfield Ave Santa Fe Springs CA 90670-4601 Ph: (562) 906-2681 | Homeless Outreach Program 11015 Bloomfield Ave Santa Fe Springs CA 90670-4601 Ph: (562) 906-2681 |
| NPI Number | 1396950127 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396950127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 190100BN (California) | Primary |
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