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Organization
AMICUS INC
Active
Organization
AMICUS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAULETTE R. CASWELL PH.D. (CEO)
(323) 683-8321
Entity
Organization
Contact information
Practice address
645 N GARDNER ST, LOS ANGELES, CA 90036-5712
(323) 683-8321
(651) 400-5476
Mailing address
PO BOX 480179, LOS ANGELES, CA 90048-1179
(323) 683-8321
(651) 400-5476
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
CA
251K00000X
Public Health or Welfare Agency
—
NULL
251V00000X
Voluntary or Charitable Agency
—
CA
261QD1600X
Developmental Disabilities Clinic/Center
—
NULL
261QH0700X
Hearing and Speech Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
261QR0400X
Rehabilitation Clinic/Center
—
NULL
Other
Enumeration date
02/08/2008
Last updated
01/23/2016
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