Organization
CHILDRENS INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUPE RODRIGUEZ (FACILITATOR)
(562) 355-9568
Entity
Organization
Contact information
Practice address
679 NEW HAMPSHIRE AVE., LOS ANGELES, CA 90005-1355
(213) 807-1913
Mailing address
679 NEW HAMPSHIRE AVE., LOS ANGELES, CA 90005-1355
(213) 807-1913
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
91402
MEDICARE, UPIN, MEDICARE,PIN, MEDICARE OSCAR/CERTIFICATION, MEDICARE, NSC
CA
Enumeration date
11/09/2016
Last updated
01/06/2017
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