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Organization
METROPOLITAN DETENTION CENTER LOS ANGELES
Active
Organization
METROPOLITAN DETENTION CENTER LOS ANGELES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES PARK PHARM.D. (HEALTH SERVICE ADMINISTRATOR)
(213) 485-0439
Entity
Organization
Contact information
Practice address
535 N. ALAMEDA ST., LOS ANGELES, CA 90012
(213) 485-0439
Mailing address
535 N. ALAMEDA ST., LOS ANGELES, CA 90012
(213) 485-0439
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
—
—
3336C0002X
Clinic Pharmacy
—
—
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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