Organization
A NEW SERENITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE KELLEY PH.D (EXECUTIVE DIRECTOR)
(323) 971-9000
Entity
Organization
Contact information
Practice address
5701 S FIGUEROA ST, LOS ANGELES, CA 90037-4039
(323) 971-9000
(323) 971-9474
Mailing address
5701 S FIGUEROA ST, LOS ANGELES, CA 90037-4039
(323) 971-9000
(323) 971-9474
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
262-3198-5
CA
Other
Enumeration date
04/23/2007
Last updated
08/22/2020
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