| Los Angeles County Isfc | |
|
1506 Centinela Ave Inglewood CA 90302-1144 | |
| (510) 317-1446 | |
| (510) 317-1443 |
| Full Name | Los Angeles County Isfc |
|---|---|
| Speciality | Foster Care Agency |
| Location | 1506 Centinela Ave, Inglewood, California |
| Authorized Official Name and Position | Sandy Hobson (QUALITY ASSURANCE DIRECTOR) |
| Authorized Official Contact | 5107255727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Los Angeles County Isfc 2275 Arlington Dr San Leandro CA 94578-1132 Ph: () - | Los Angeles County Isfc 1506 Centinela Ave Inglewood CA 90302-1144 Ph: (510) 317-1446 |
| NPI Number | 1376014134 |
|---|---|
| Provider Enumeration Date | 12/05/2018 |
| Last Update Date | 03/10/2020 |
| Certification Date | 03/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376014134 | NPI | - | NPPES |
| 0015 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 253J00000X | Foster Care Agency | (* (Not Available)) | Primary |
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