Organization
DIDI HIRSCH PSYCHIATRIC SERVICE
Active
Other names
Didi Hirsch at Jefferson ES
Organization subpart
No
Provider details
NPI number
Authorized official
DULCE M RUIZ (CONTRACTS & GRANTS MANAGER)
(310) 751-5442
Entity
Organization
Contact information
Practice address
4091 W 139TH ST RM 1, HAWTHORNE, CA 90250-7303
(310) 676-9423
Mailing address
4760 SEPULVEDA BLVD, CULVER CITY, CA 90230-4820
(310) 390-6612
(310) 751-5481
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/09/2018
Last updated
10/06/2020
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