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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