University Village | |
950 Hilgard Ave Los Angeles CA 90024-3056 | |
(510) 317-1446 | |
(510) 317-1443 |
Full Name | University Village |
---|---|
Speciality | Community/behavioral Health |
Location | 950 Hilgard Ave, Los Angeles, California |
Authorized Official Name and Position | Katherine West (COO) |
Authorized Official Contact | 5106544004 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
University Village 2275 Arlington Dr San Leandro CA 94578-1132 Ph: (510) 317-1446 | University Village 950 Hilgard Ave Los Angeles CA 90024-3056 Ph: (510) 317-1446 |
NPI Number | 1689115487 |
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Provider Enumeration Date | 03/13/2017 |
Last Update Date | 03/13/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689115487 | NPI | - | NPPES |
0015 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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