Organization
COUNTY OF LOS ANGELES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ART BERNAL (CBO MANAGER)
(323) 890-7775
Entity
Organization
Contact information
Practice address
1200 N STATE ST, LOS ANGELES, CA 90033-1029
(323) 890-7509
Mailing address
5555 FERGUSON DR, COMMERCE, CA 90022-5164
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Enumeration date
03/18/2015
Last updated
03/18/2015
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