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Organization
WHITE LOTUS CHATEAU LLC
Active
Organization
WHITE LOTUS CHATEAU LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS GIAN TAL LIA ODEN (MANAGING MEMBER)
(310) 990-1590
Entity
Organization
Contact information
Practice address
3428 TROY DR, LOS ANGELES, CA 90068-1436
(310) 990-1590
Mailing address
3428 TROY DR, LOS ANGELES, CA 90068-1436
(310) 990-1590
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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