Organization
KEDREN COMMUNITY HEALTH CENTER, INC.
Active
Other names
Kedren Community Health Center, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EARLE CHARLES PH.D. (CHIEF INFORMATION OFFICER)
(323) 432-5093
Entity
Organization
Contact information
Practice address
4211 SOUTH AVALON BLVD, LOS ANGELES, CA 90011
(323) 432-5093
Mailing address
4211 SOUTH AVALON BLVD, LOS ANGELES, CA 90011-5622
(323) 432-5093
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Enumeration date
10/23/2018
Last updated
02/20/2019
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