Organization
DEPARTMENT OF MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE GALLEGOS (SUPERVISING PSYCHIATRIC SOCIAL WORK)
(213) 351-6649
Entity
Organization
Contact information
Practice address
550 S VERMONT AVE, LOS ANGELES, CA 90020-1912
(213) 351-6649
Mailing address
550 S VERMONT AVE, LOS ANGELES, CA 90020-1912
(213) 351-6649
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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