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Organization
EISNER
Active
Organization
EISNER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSAURA RUIZ (BEHAVIORAL HEALTH COORDINATOR)
(213) 747-5542
Entity
Organization
Contact information
Practice address
1500 S OLIVE ST, LOS ANGELES, CA 90015-3023
(213) 747-5542
Mailing address
1500 S OLIVE ST, LOS ANGELES, CA 90015-3023
(213) 747-5542
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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