| Opcc And Lamp Community Inc | |
|
1453 16th St Santa Monica CA 90404-2715 | |
| (310) 264-6646 | |
| (310) 264-6647 |
| Full Name | Opcc And Lamp Community Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1453 16th St, Santa Monica, California |
| Authorized Official Name and Position | Angeline Loch (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Contact | 3233349000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Opcc And Lamp Community Inc 1453 16th St Santa Monica CA 90404-2715 Ph: (310) 264-6646 | Opcc And Lamp Community Inc 1453 16th St Santa Monica CA 90404-2715 Ph: (310) 264-6646 |
| NPI Number | 1447444914 |
|---|---|
| Provider Enumeration Date | 08/28/2007 |
| Last Update Date | 12/18/2019 |
| Certification Date | 12/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447444914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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