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Organization
HAVEN HEALTH GROUP LOS ANGELES PC
Active
Organization
HAVEN HEALTH GROUP LOS ANGELES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE PISCADLO CEO (CEO)
(213) 415-2214
Entity
Organization
Contact information
Practice address
6221 WILSHIRE BLVD STE 216, LOS ANGELES, CA 90048-5226
(213) 415-2214
(213) 816-6334
Mailing address
6221 WILSHIRE BLVD STE 216, LOS ANGELES, CA 90048-5226
(213) 415-2214
(213) 816-6334
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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