| Ucla Ties For Families | |
|
1033 Gayley Ave Suite 204 Los Angeles CA 90024-3417 | |
| (310) 794-2457 | |
| Not Available |
| Full Name | Ucla Ties For Families |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1033 Gayley Ave, Los Angeles, California |
| Authorized Official Name and Position | Audra Langley (DIRECTOR) |
| Authorized Official Contact | 3107942457 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ucla Ties For Families 1000 Veteran Ave Los Angeles CA 90024-2704 Ph: (310) 794-2457 | Ucla Ties For Families 1033 Gayley Ave Suite 204 Los Angeles CA 90024-3417 Ph: (310) 794-2457 |
| NPI Number | 1720315948 |
|---|---|
| Provider Enumeration Date | 11/09/2009 |
| Last Update Date | 10/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720315948 | NPI | - | NPPES |
| 000007446 | Medicaid | CA |
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