Organization
GATEWAY LA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LUSINE HOVSEPYAN MS (CEA)
(818) 357-4755
Entity
Organization
Contact information
Practice address
11500 CALVERT ST, N HOLLYWOOD, CA 91606-4108
(818) 357-4755
Mailing address
11500 CALVERT ST, N HOLLYWOOD, CA 91606-4108
(818) 357-4755
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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