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Organization

COMPASSION CARE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TIMOTHY ALEXANDER LESTER JR. (VICE PRESIDENT)
(310) 230-5574
Entity
Organization

Contact information

Practice address
3130 SOUTH HILL STREET, LOS ANGELES, CA 90007
(310) 230-5574
(323) 373-9786
Mailing address
2614 CRENSHAW BLVD, LOS ANGELES, CA 90016-3057
(310) 230-5574
(323) 373-9786

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
197458
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1295066744
MEDI CAL
CA
Enumeration date
08/01/2012
Last updated
08/01/2012
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