Los Angeles Lgbt Center | |
1625 Schrader Blvd Los Angeles CA 90028-6213 | |
(323) 993-7500 | |
(323) 308-4015 |
Full Name | Los Angeles Lgbt Center |
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Speciality | General Practice |
Location | 1625 Schrader Blvd, Los Angeles, California |
Authorized Official Name and Position | Darrel Cummings (CHIEF OF STAFF) |
Authorized Official Contact | 3239937605 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Los Angeles Lgbt Center 1625 Schrader Blvd Los Angeles CA 90028-6213 Ph: (323) 993-7500 | Los Angeles Lgbt Center 1625 Schrader Blvd Los Angeles CA 90028-6213 Ph: (323) 993-7500 |
NPI Number | 1548298532 |
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Provider Enumeration Date | 06/29/2006 |
Last Update Date | 04/26/2018 |
Medicare PECOS PAC ID | 8729975453 |
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Medicare Enrollment ID | O20040227001020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548298532 | NPI | - | NPPES |
CMM70532F | Medicaid | CA |
Provider Name | Micheal Jason Hall |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396744850 PECOS PAC ID: 2062497688 Enrollment ID: I20040618001329 |
Provider Name | Madeline B Deutsch |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1750313383 PECOS PAC ID: 1254308398 Enrollment ID: I20040916000786 |
Provider Name | Robert Bolan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386643831 PECOS PAC ID: 9537056262 Enrollment ID: I20041204000088 |
Provider Name | Cynthia Harrison |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770582231 PECOS PAC ID: 0941266654 Enrollment ID: I20041204000127 |
Provider Name | Ali D Aziz |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1669490660 PECOS PAC ID: 5799741401 Enrollment ID: I20041204000155 |
Provider Name | Thomas D Biddison |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1669402327 PECOS PAC ID: 9436179454 Enrollment ID: I20051205000746 |
Provider Name | John Hodges |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386831543 PECOS PAC ID: 9133289002 Enrollment ID: I20081121000465 |
Provider Name | Helen Cooksey |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1124110481 PECOS PAC ID: 8527182294 Enrollment ID: I20100901000799 |
Provider Name | Gerald Robert Hamwi |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467447714 PECOS PAC ID: 7012109143 Enrollment ID: I20101007001219 |
Provider Name | Ward S Carpenter |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1811068901 PECOS PAC ID: 9234143702 Enrollment ID: I20131115001682 |
Provider Name | Forest E Colstrom |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1265564330 PECOS PAC ID: 7517180144 Enrollment ID: I20140528001709 |
Provider Name | Kenya D Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285056911 PECOS PAC ID: 2365667086 Enrollment ID: I20140711002007 |
Provider Name | Jason Tomasian |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1063660470 PECOS PAC ID: 6608193883 Enrollment ID: I20150327000628 |
Provider Name | Ashley Mcilhenny |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528215720 PECOS PAC ID: 0042521833 Enrollment ID: I20150619002068 |
Provider Name | Angela Mcdonald |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154668481 PECOS PAC ID: 0446563001 Enrollment ID: I20150724012565 |
Provider Name | Joseph R Umbrino |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821337668 PECOS PAC ID: 6608171772 Enrollment ID: I20160226002044 |
Provider Name | Lauren Enteen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801224217 PECOS PAC ID: 4082912498 Enrollment ID: I20160419001885 |
Provider Name | Amir Ahuja |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1992006837 PECOS PAC ID: 4981830718 Enrollment ID: I20160622002109 |
Provider Name | William L Hernandez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245667351 PECOS PAC ID: 0042514002 Enrollment ID: I20160720000369 |
Provider Name | Rachel S Sakai |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134575707 PECOS PAC ID: 9436444601 Enrollment ID: I20160826001382 |
Provider Name | Lisa Gallegos |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1912232059 PECOS PAC ID: 9133407885 Enrollment ID: I20161031001984 |
Provider Name | Allison Lynn Bearden |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1780875575 PECOS PAC ID: 9739460593 Enrollment ID: I20170110001708 |
Provider Name | Dragana T Vagic |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1619286606 PECOS PAC ID: 4981840170 Enrollment ID: I20170627000390 |
Provider Name | Chad S Belcher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548709660 PECOS PAC ID: 1850661109 Enrollment ID: I20170720000003 |
Provider Name | Lauren Logan |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1568657971 PECOS PAC ID: 8921366857 Enrollment ID: I20171221002062 |
Provider Name | Jonathan Slade |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841705233 PECOS PAC ID: 3779843917 Enrollment ID: I20180207001466 |
Provider Name | Scott J Haitsuka |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1710499199 PECOS PAC ID: 9335409325 Enrollment ID: I20180213001401 |
Provider Name | Keegan Andrew Wood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417471459 PECOS PAC ID: 7315208816 Enrollment ID: I20180226000755 |
Provider Name | James Bell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699088922 PECOS PAC ID: 8820309735 Enrollment ID: I20180402000334 |
Provider Name | Shaina F Gonzales |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1073028502 PECOS PAC ID: 8527321637 Enrollment ID: I20180423002885 |
Provider Name | Angela Monette |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1336638972 PECOS PAC ID: 5496001265 Enrollment ID: I20180709003511 |
Provider Name | Venesha Scott |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710498035 PECOS PAC ID: 5496009813 Enrollment ID: I20181121000045 |
Provider Name | Farshid Yadegar |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1447774534 PECOS PAC ID: 8628312352 Enrollment ID: I20181226000739 |
Provider Name | Jess Converse |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1083022651 PECOS PAC ID: 6901144195 Enrollment ID: I20190213002545 |
Provider Name | Elizabeth A Mour |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1700289493 PECOS PAC ID: 7113250366 Enrollment ID: I20190604000483 |
Provider Name | Olivia Parsons Campbell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669889713 PECOS PAC ID: 8022349174 Enrollment ID: I20191003003702 |
Provider Name | David Jon Herman |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1205254331 PECOS PAC ID: 2163787110 Enrollment ID: I20200320001730 |
Provider Name | Megan E Huth |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1326508623 PECOS PAC ID: 3072943612 Enrollment ID: I20200422000002 |
Provider Name | Enrique Zuniga |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1063821239 PECOS PAC ID: 8628408051 Enrollment ID: I20200424002432 |
Provider Name | Ashley R Tweed |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1366009847 PECOS PAC ID: 2365872744 Enrollment ID: I20200427001404 |
Provider Name | Viktoriya Golovatscka |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144865502 PECOS PAC ID: 7315377686 Enrollment ID: I20200429000687 |
Provider Name | Katherine Duffy |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881012433 PECOS PAC ID: 4385927904 Enrollment ID: I20200504001409 |
Provider Name | Gaetano Scognamillo |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1427330471 PECOS PAC ID: 2567772551 Enrollment ID: I20200618000526 |
Provider Name | Toby Barron |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1053647396 PECOS PAC ID: 0244652824 Enrollment ID: I20200629001119 |
Provider Name | Hyo Kyung Park |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1184910960 PECOS PAC ID: 6002117439 Enrollment ID: I20220426001564 |
Provider Name | Alan Montes |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1265748610 PECOS PAC ID: 7618216789 Enrollment ID: I20220427002053 |
Provider Name | Renato Perez |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1780081992 PECOS PAC ID: 8527446947 Enrollment ID: I20220525002343 |
Provider Name | Mallory Ellen Degray |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336889146 PECOS PAC ID: 9638557747 Enrollment ID: I20220601003072 |
Provider Name | Caryn Whitacre |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1376296103 PECOS PAC ID: 2365822400 Enrollment ID: I20220706003552 |
Provider Name | Jeffrey William Prestler |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1760629729 PECOS PAC ID: 8527436955 Enrollment ID: I20221116001345 |
Provider Name | Kaitlin Klipsch |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1306353859 PECOS PAC ID: 2769850106 Enrollment ID: I20221116001586 |
Provider Name | Jonathan Boland |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1003242793 PECOS PAC ID: 3971971326 Enrollment ID: I20221116002254 |
Provider Name | Emily Lauren Frank |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1073057196 PECOS PAC ID: 2062880420 Enrollment ID: I20221116002264 |
Provider Name | Caroline Beyer |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942864327 PECOS PAC ID: 8729315379 Enrollment ID: I20221116002689 |
Provider Name | Katherine Gladwin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154849370 PECOS PAC ID: 2860826195 Enrollment ID: I20221116003126 |
Provider Name | Emily Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801525944 PECOS PAC ID: 4688042955 Enrollment ID: I20221116003251 |
Provider Name | Kindra Woo |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1891250445 PECOS PAC ID: 1254709546 Enrollment ID: I20221117000568 |
Provider Name | Rudolpho Perez |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1871741553 PECOS PAC ID: 2961870068 Enrollment ID: I20221121003339 |
Provider Name | Cory Mckinsey |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1992053599 PECOS PAC ID: 0840668570 Enrollment ID: I20221130000779 |
Provider Name | Ayana Elliott |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700030327 PECOS PAC ID: 5698809945 Enrollment ID: I20221130003686 |
Provider Name | Michael David Ford |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1598408155 PECOS PAC ID: 7012386675 Enrollment ID: I20221205000542 |
Provider Name | Katherine Kasserman |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1912619313 PECOS PAC ID: 8729450838 Enrollment ID: I20230217000650 |
Provider Name | Anthony Leslie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588376925 PECOS PAC ID: 3274907050 Enrollment ID: I20230317000371 |
Provider Name | Arturo Chavez Alvarez |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1578931341 PECOS PAC ID: 6507230323 Enrollment ID: I20230317002509 |
Provider Name | Yen Nguyen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255047957 PECOS PAC ID: 9931574894 Enrollment ID: I20230405003043 |
Provider Name | Jordan Meier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003529645 PECOS PAC ID: 5193180586 Enrollment ID: I20230509001283 |
Provider Name | Mark Chaney-gay |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1629448048 PECOS PAC ID: 6507223765 Enrollment ID: I20230601002785 |
Provider Name | Salma Wahidi |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1003225707 PECOS PAC ID: 6305204991 Enrollment ID: I20230613003618 |
Provider Name | Jorge Daniel Flautero Arcos |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1366070013 PECOS PAC ID: 5496171571 Enrollment ID: I20230707003407 |
Provider Name | Cadence Liara Valentine |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1215618129 PECOS PAC ID: 2163884008 Enrollment ID: I20230809003594 |
Provider Name | Jonathan Villicana |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1891430245 PECOS PAC ID: 3375905631 Enrollment ID: I20230817003303 |
Provider Name | Connor Beth Cashel |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1710589213 PECOS PAC ID: 8022463579 Enrollment ID: I20231018002320 |
Provider Name | Krystal Thorburn |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1629427976 PECOS PAC ID: 3779939277 Enrollment ID: I20231019000897 |
Provider Name | Anyra Iordana Gaytan Gamiz |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1760736920 PECOS PAC ID: 6002266145 Enrollment ID: I20240102001445 |
Provider Name | Luke Xavier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356982680 PECOS PAC ID: 1850703604 Enrollment ID: I20240102002255 |
Provider Name | Sharon Nesselle |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1285633776 PECOS PAC ID: 1456701457 Enrollment ID: I20240102004156 |
Provider Name | Deborah Digiovanni |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1205035813 PECOS PAC ID: 6002266053 Enrollment ID: I20240103001550 |
Provider Name | Amy Kane |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1265776371 PECOS PAC ID: 4183075013 Enrollment ID: I20240104003754 |
Provider Name | Emiko Kenderes |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1851843817 PECOS PAC ID: 2466803952 Enrollment ID: I20240109003123 |
Provider Name | Michael Comlish |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1457695660 PECOS PAC ID: 3072964113 Enrollment ID: I20240112002159 |
Provider Name | Alfonso Garcia |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1427246651 PECOS PAC ID: 8628429792 Enrollment ID: I20240112003216 |
Provider Name | Sean A Carpenter |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1972017994 PECOS PAC ID: 0244682326 Enrollment ID: I20240115001433 |
Provider Name | Brian Loveless |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1154938017 PECOS PAC ID: 2961854948 Enrollment ID: I20240115001723 |
Provider Name | Susan Lynne Holt |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1629414529 PECOS PAC ID: 9133571888 Enrollment ID: I20240117004783 |
Provider Name | Humberto Solis Flores |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1174984454 PECOS PAC ID: 2668819293 Enrollment ID: I20240319001533 |
Provider Name | Adam Thomas Colson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1912692286 PECOS PAC ID: 4880031830 Enrollment ID: I20240326001994 |
Provider Name | Kamalpreet Nat |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1821611781 PECOS PAC ID: 4688011596 Enrollment ID: I20240327000096 |
Provider Name | Dinyar Mehta |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1497398127 PECOS PAC ID: 2365880408 Enrollment ID: I20240409000923 |
Provider Name | David Doerken |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1265048375 PECOS PAC ID: 4183062094 Enrollment ID: I20240410002156 |
Provider Name | Jasmine Duyen Anh Nguyen |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1285499756 PECOS PAC ID: 6608318571 Enrollment ID: I20240606002087 |
Provider Name | Andrew Toscano |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1477314797 PECOS PAC ID: 4880136795 Enrollment ID: I20240606003748 |
Emq Hollygrove Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 N El Centro Ave, Los Angeles, CA 90038 Phone: 323-463-2119 Fax: 323-463-0619 | |
Peter Lorber, M.d., A Medical Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1245 Wilshire Blvd, Suite 814, Los Angeles, CA 90017 Phone: 213-481-0592 | |
Satish S. Kadaba, M.d., Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4545 E 3rd St, Suite 102, Los Angeles, CA 90022 Phone: 323-264-6296 Fax: 323-264-6297 | |
Foundations Treatment Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11500 W Olympic Blvd Ste 420, Los Angeles, CA 90064 Phone: 888-800-5761 Fax: 818-530-7808 | |
Pch Treatment Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11965 Venice Blvd, Suite 407, Los Angeles, CA 90066 Phone: 310-566-7625 Fax: 310-566-7629 | |
Haleh Eghrari Psychology Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1314 Westwood Blvd, Suite 206, Los Angeles, CA 90024 Phone: 310-441-9550 Fax: 310-234-2682 | |
Douglas L. Gosney Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2566 Overland Ave, Suite 780, Los Angeles, CA 90064 Phone: 310-202-9382 |