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Organization

COUNTY OF LOS ANGELES

Active
Other names
Hubert H. Humphrey CHC
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JODY NAKASUJI (CHIEF FINANCIAL OFFICER)
(310) 222-3004
Entity
Organization

Contact information

Practice address
5850 S MAIN ST, LOS ANGELES, CA 90003-1215
(310) 668-5201
Mailing address
5850 S MAIN ST, LOS ANGELES, CA 90003-1215
(310) 668-5201

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
08/03/2006
Last updated
01/10/2019
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