# AMICUS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376721639
- **Authorized official:** DR. PAULETTE R. CASWELL PH.D. (CEO)
- **Authorized official phone:** (323) 683-8321

## Contact information

- **Practice address:** 645 N GARDNER ST, LOS ANGELES, CA 90036-5712
- **Practice address phone:** (323) 683-8321
- **Practice address fax:** (651) 400-5476
- **Mailing address:** PO BOX 480179, LOS ANGELES, CA 90048-1179
- **Mailing address phone:** (323) 683-8321
- **Mailing address fax:** (651) 400-5476

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | CA | Yes |
| 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