Organization
LOS ANGELES COUNTY PROBATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEJAUN BLEDSOE ADULT FIELD SERVICES (STAFF ASSISTANT)
(562) 940-3694
Entity
Organization
Contact information
Practice address
10028 WISNER AVE, MISSION HILLS, CA 91345-3037
(818) 891-4347
Mailing address
10028 WISNER AVE, MISSION HILLS, CA 91345-3037
(818) 891-4347
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
171M00000X
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171M00000X
LOS ANGELES COUNTY PROBAT
CA
Enumeration date
04/18/2008
Last updated
04/18/2008
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