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Organization
VISTA DEL MAR - SPA 4
Active
Organization
VISTA DEL MAR - SPA 4
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL CARRINGTON (DIRECTOR QUALITY STANDARDS AND COMP)
(310) 836-1223
Entity
Organization
Contact information
Practice address
3333 WILSHIRE BLVD STE 604, LOS ANGELES, CA 90010-4106
(310) 836-1223
Mailing address
3325 WILSHIRE BLVD, SUITE 915, LOS ANGELES, CA 90010-1703
(310) 836-1223
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/29/2009
Last updated
01/06/2025
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