Organization
GENESIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ERIKA G LUNA (MSW INTERN)
(626) 457-1055
Entity
Organization
Contact information
Practice address
550 S VERMONT AVE FL 6, LOS ANGELES, CA 90020-1912
(213) 351-7284
Mailing address
550 S VERMONT AVE FL 6, LOS ANGELES, CA 90020-1912
(213) 351-7284
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/13/2010
Last updated
01/13/2010
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