Organization
METROPOLITAN DETENTION CENTER LOS ANGELES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES PARK PHARM.D. (HEALTH SERVICE ADMINISTRATOR)
(213) 485-0439
Entity
Organization
Contact information
Practice address
535 N. ALAMEDA ST., LOS ANGELES, CA 90012
(213) 485-0439
Mailing address
535 N. ALAMEDA ST., LOS ANGELES, CA 90012
(213) 485-0439
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
—
—
3336C0002X
Clinic Pharmacy
—
—
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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