Kedren Community Mental Health Center | |
4211 South Avalon Blvd Los Angeles CA 90011 | |
(323) 432-5093 | |
(323) 233-5015 |
Full Name | Kedren Community Mental Health Center |
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Speciality | General Practice |
Location | 4211 South Avalon Blvd, Los Angeles, California |
Authorized Official Name and Position | Earle Charles Charles (CHIEF INFORMATION OFFICER) |
Authorized Official Contact | 3234325093 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kedren Community Mental Health Center 4211 South Avalon Blvd. Los Angeles CA 90011-5622 Ph: (323) 432-5093 | Kedren Community Mental Health Center 4211 South Avalon Blvd Los Angeles CA 90011 Ph: (323) 432-5093 |
NPI Number | 1255548483 |
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Provider Enumeration Date | 05/17/2007 |
Last Update Date | 04/16/2019 |
Identifier | Type | State | Issuer |
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1255548483 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
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