Organization
HOMELESS HEALTH CARE LOS ANGELES
Active
Organization
HOMELESS HEALTH CARE LOS ANGELES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK CASANOVA MA (EXECUTIVE DIRECTOR)
(213) 739-1627
Entity
Organization
Contact information
Practice address
2330 BEVERLY BLVD, LOS ANGELES, CA 90057-2220
(213) 739-1627
(213) 739-1617
Mailing address
2330 BEVERLY BLVD, LOS ANGELES, CA 90057-2220
(213) 739-1627
(213) 739-1617
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
190246AN
CA
Other
Enumeration date
03/24/2011
Last updated
03/24/2011
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