Vip Community Mental Health Center, Inc. | |
2730 Ganahl St Los Angeles CA 90033-2019 | |
(323) 221-4134 | |
Not Available |
Full Name | Vip Community Mental Health Center, Inc. |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 2730 Ganahl St, Los Angeles, California |
Authorized Official Name and Position | Dustin Schiada (CLINICAL DIRECTOR) |
Authorized Official Contact | 3232214134 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Vip Community Mental Health Center, Inc. 1721 Griffin Ave Los Angeles CA 90031-3312 Ph: () - | Vip Community Mental Health Center, Inc. 2730 Ganahl St Los Angeles CA 90033-2019 Ph: (323) 221-4134 |
NPI Number | 1699306340 |
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Provider Enumeration Date | 01/31/2020 |
Last Update Date | 01/31/2020 |
Certification Date | 01/31/2020 |
Identifier | Type | State | Issuer |
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1699306340 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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