Organization
LAMP. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY HORAN (EXECUTIVE DIRECTOR)
(213) 488-9559
Entity
Organization
Contact information
Practice address
627 SAN JULIAN ST, LOS ANGELES, CA 90014-2411
(213) 488-0031
Mailing address
627 SAN JULIAN ST, LOS ANGELES, CA 90014-2411
(213) 488-0031
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7134
DMH PROVIDER NUMBER
CA
Enumeration date
03/21/2007
Last updated
08/22/2020
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