Organization
CHILDREN'S HOSPITAL LOS ANGELES MENTAL HEALTH
Active
Other names
Children's Hospital LA- QueensCare Health and Faith Partnership
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTINA LUCIA SANDOVAL LCSW (PROGRAM MANAGER)
(323) 669-4355
Entity
Organization
Contact information
Practice address
4618 FOUNTAIN AVE, LOS ANGELES, CA 90029
(323) 669-4355
(323) 953-7300
Mailing address
950 S GRAND AVE, 2ND FLOOR SOUTH, LOS ANGELES, CA 90015-4202
(323) 669-4302
(323) 906-0143
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/21/2006
Last updated
07/31/2018
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