Organization
DEPARTMENT OF HEALTH SERVICES
Active
Other names
Los Angeles County Sheriff's Department
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE M GREEN BSN, PHN, MSN, NP (NURSE PRACTITIONER WHCNP)
(310) 702-4285
Entity
Organization
Contact information
Practice address
450 BAUCHET ST, MSB ----ROOM E873, LOS ANGELES, CA 90012-2907
(323) 568-4550
Mailing address
450 BAUCHET ST, MSB ----ROOM E873, LOS ANGELES, CA 90012-2907
(323) 568-4550
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
14185
CA
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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