| My Aba Services Llc | |
|
1353 N Fuller Ave Ph 2 Los Angeles CA 90046-4996 | |
| (541) 218-7576 | |
| Not Available |
| Full Name | My Aba Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1353 N Fuller Ave Ph 2, Los Angeles, California |
| Authorized Official Name and Position | Blayne Milburn (OWNER/CEO) |
| Authorized Official Contact | 5412187576 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Aba Services Llc 1353 N Fuller Ave Ph 2 Los Angeles CA 90046-4996 Ph: (541) 218-7576 | My Aba Services Llc 1353 N Fuller Ave Ph 2 Los Angeles CA 90046-4996 Ph: (541) 218-7576 |
| NPI Number | 1316577000 |
|---|---|
| Provider Enumeration Date | 01/22/2020 |
| Last Update Date | 09/05/2024 |
| Certification Date | 09/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316577000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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