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Organization
LOS ANGELES TEEN OUTPATIENT CENTER LLC
Active
Organization
LOS ANGELES TEEN OUTPATIENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY SCHOSER (REVENUE CYCLE MANAGER)
(323) 364-6489
Entity
Organization
Contact information
Practice address
5150 WILSHIRE BLVD STE 300, LOS ANGELES, CA 90036-4436
(323) 364-6489
Mailing address
6053 BRISTOL PKWY, CULVER CITY, CA 90230-6601
(323) 364-6489
(310) 919-0372
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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