Organization
APPLIED LA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON LEVINE PHD (CLINICAL DIRECTOR)
(310) 488-1116
Entity
Organization
Contact information
Practice address
11340 W OLYMPIC BLVD, 305, LOS ANGELES, CA 90064-1608
(310) 488-1116
Mailing address
11340 W OLYMPIC BLVD, 305, LOS ANGELES, CA 90064-1608
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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