Organization
COUNTY OF LOS ANGELES
Active
Organization
COUNTY OF LOS ANGELES
Active
Other names
Olive View: Mental Health Professional Billing
Organization subpart
No
Provider details
NPI number
Authorized official
KONITA LEE WILKS (CHIEF EXECUTIVE OFFICER)
(747) 210-3010
Entity
Organization
Contact information
Practice address
14445 OLIVE VIEW DR, SYLMAR, CA 91342-1437
(747) 210-3010
Mailing address
1000 S. FREMONT AVE., UNIT #9, BLDG A11, GROUND FL., SUITE A11010, ALHAMBRA, CA 91803-8801
(626) 525-6076
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Enumeration date
12/15/2023
Last updated
12/15/2023
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