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Organization
POM POMS CASTLE
Active
Organization
POM POMS CASTLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BELINDA BAKER (EXECUTIVE DIRECTOR)
(323) 294-1576
Entity
Organization
Contact information
Practice address
5135 S WESTERN AVE, LOS ANGELES, CA 90062-2333
(323) 294-1576
Mailing address
5135 S WESTERN AVE, LOS ANGELES, CA 90062-2333
(323) 294-1576
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
7030
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7030
PROVIDER NUMBER
CA
Enumeration date
04/12/2007
Last updated
08/14/2008
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