| Vista Del Mar Child And Family Services | |
|
6926 Melrose Ave Los Angeles CA 90038-3306 | |
| (323) 934-7979 | |
| (323) 934-0514 |
| Full Name | Vista Del Mar Child And Family Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6926 Melrose Ave, Los Angeles, California |
| Authorized Official Name and Position | Cheryl Carrington (DIRECTOR QUALITY, STANDARDS AND COM) |
| Authorized Official Contact | 3108361223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vista Del Mar Child And Family Services 6926 Melrose Ave Los Angeles CA 90038-3306 Ph: (323) 934-7979 | Vista Del Mar Child And Family Services 6926 Melrose Ave Los Angeles CA 90038-3306 Ph: (323) 934-7979 |
| NPI Number | 1053146407 |
|---|---|
| Provider Enumeration Date | 09/05/2024 |
| Last Update Date | 09/05/2024 |
| Certification Date | 09/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053146407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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