Organization
GHC OF MLK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOIS MASTROCOLA (CHIEF FINANCIAL OFFICER)
(714) 241-5600
Entity
Organization
Contact information
Practice address
12021 WILMINGTON AVE, BLDG 18, POD 5A, LOS ANGELES, CA 90059
(714) 241-5600
Mailing address
6 HUTTON CENTRE DR STE 400, SANTA ANA, CA 92707-8762
(714) 241-5600
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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