Organization
HILLSIDES
Active
Parent organization
HILLSIDES
Other names
Hillsides FRC EP
Organization subpart
Yes
Provider details
NPI number
Legal business name
HILLSIDES
Authorized official
MARISOL LARA (QA COORDINATOR)
(323) 543-2800
Entity
Organization
Contact information
Practice address
4927 HUNTINGTON DR. NORTH, SUITE 200, LOS ANGELES, CA 90032-1679
(323) 274-3075
Mailing address
4927 HUNTINGTON DR. NORTH, SUITE 200, LOS ANGELES, CA 90032-1679
(323) 274-3075
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/23/2007
Last updated
03/29/2022
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