Organization
LOS ANGELES GENDER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYDIN OLSON-KENNEDY LCSW (EXECUTIVE DIRECTOR)
(530) 513-9473
Entity
Organization
Contact information
Practice address
11350 VENTURA BLVD STE 201, STUDIO CITY, CA 91604-3140
(530) 513-9473
Mailing address
11350 VENTURA BLVD STE 201, STUDIO CITY, CA 91604-3140
(530) 513-9473
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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