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Organization
DEPARTMENT OF MENTAL HEALTH
Active
Organization
DEPARTMENT OF MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PASTY AYALA (DISTRICT CHIEF)
(213) 738-3641
Entity
Organization
Contact information
Practice address
450 BAUCHET ST, LOS ANGELES, CA 90012-2907
(213) 473-6183
Mailing address
550 S VERMONT AVE, 9TH FLR., RM. 904, LOS ANGELES, CA 90020-1912
(213) 738-3641
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/23/2008
Last updated
07/24/2008
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