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Organization
CHILDREN'S HOSPITAL LOS ANGELES MENTAL HEALTH
Active
Organization
CHILDREN'S HOSPITAL LOS ANGELES MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAX SCOTT LIEBERENZ CPA (SR.VP/CFO)
(323) 361-2235
Entity
Organization
Contact information
Practice address
3250 WILSHIRE BLVD FL 3, LOS ANGELES, CA 90010-1577
(323) 361-3189
Mailing address
3250 WILSHIRE BLVD FL 3, LOS ANGELES, CA 90010-1577
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/24/2012
Last updated
11/17/2022
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