Organization
KEDREN COMMUNITY HEALTH CENTER, INC.
Active
Parent organization
KEDREN COMMUNITY HEALTH CENTER
Other names
Kedren Community Mental Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
KEDREN COMMUNITY HEALTH CENTER
Authorized official
DR. EARLE CHARLES CHARLES (CHIEF INFORMATION OFFICER)
(323) 432-5093
Entity
Organization
Contact information
Practice address
4211 SOUTH AVALON BLVD, LOS ANGELES, CA 90011
(323) 432-5093
(323) 233-5015
Mailing address
4211 SOUTH AVALON BLVD., LOS ANGELES, CA 90011-5622
(323) 432-5093
(323) 233-5015
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/17/2007
Last updated
04/16/2019
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