| Los Angeles Outpatient Center Llc | |
|
6053 Bristol Pkwy Ste 100 Culver City CA 90230-6601 | |
| (323) 364-6489 | |
| Not Available |
| Full Name | Los Angeles Outpatient Center Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 6053 Bristol Pkwy Ste 100, Culver City, California |
| Authorized Official Name and Position | Terry Schoser (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 3233646489 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Los Angeles Outpatient Center Llc 6053 Bristol Pkwy Culver City CA 90230-6601 Ph: (323) 364-6489 | Los Angeles Outpatient Center Llc 6053 Bristol Pkwy Ste 100 Culver City CA 90230-6601 Ph: (323) 364-6489 |
| NPI Number | 1376130377 |
|---|---|
| Provider Enumeration Date | 12/23/2020 |
| Last Update Date | 11/23/2021 |
| Certification Date | 11/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376130377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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