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Organization

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Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ZINA WASHINGTON (EXECUTIVE DIRECTOR)
(562) 612-5001
Entity
Organization

Contact information

Practice address
1301 W 12TH ST, LONG BEACH, CA 90813-2720
(562) 612-5001
(562) 270-0615
Mailing address
PO BOX 32861, LONG BEACH, CA 90832-2861
(562) 612-5001
(562) 270-0615

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
302R00000X
Health Maintenance Organization
332U00000X
Home Delivered Meals
Primary

Other

Enumeration date
09/27/2018
Last updated
11/27/2025
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