Organization
NEW DIRECTIONS FOR VETERANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA R HERNANDEZ (CLINICAL SERVICES COORDINATOR)
(310) 914-4045
Entity
Organization
Contact information
Practice address
11303 WILSHIRE BLVD, BLDG #116, LOS ANGELES, CA 90073
(310) 914-4045
(310) 914-5495
Mailing address
11303 WILSHIRE BLVD, BLDG 116, LOS ANGELES, CA 90025-5069
(310) 914-4045
(310) 914-5495
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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