Organization
LAVELLE YOUTH HOMES
Active
Other names
The Lavelle Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACI LAVELLE (PRESIDENT AND CEO)
(310) 677-2569
Entity
Organization
Contact information
Practice address
652 E MANCHESTER BLVD, INGLEWOOD, CA 90301-1910
(310) 677-2569
(310) 677-9429
Mailing address
652 E MANCHESTER BLVD, INGLEWOOD, CA 90301-1910
(310) 677-2569
(310) 677-9429
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7132
MEDI-CAL PROVIDER NUMBER
CA
Enumeration date
03/21/2007
Last updated
05/07/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us