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Organization
COMPASSION FOR TEEN LIFE, INC.
Active
Organization
COMPASSION FOR TEEN LIFE, INC.
Active
Other names
Advanced Family Care Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORNA MAE JOHNSON MSN, NP, CNM (ADMINISTRATOR)
(323) 588-0084
Entity
Organization
Contact information
Practice address
1201 E FLORENCE AVE, LOS ANGELES, CA 90001-2432
(323) 588-0084
Mailing address
1201 E FLORENCE AVE, LOS ANGELES, CA 90001-2432
(323) 588-0084
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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