Organization
LAMP INC
Active
Other names
Lamp Community Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA LOPEZ (CHIEF OPERATING OFFICER)
(213) 488-9559
Entity
Organization
Contact information
Practice address
619 E 5TH ST, LOS ANGELES, CA 90013-2109
(213) 488-9559
Mailing address
526 S SAN PEDRO ST, LOS ANGELES, CA 90013-2102
(213) 488-9559
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7202
DMH PROVIDER NUMBER
CA
Enumeration date
03/15/2007
Last updated
02/27/2015
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