Organization
STAR COMMUNITY SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GALINA KOPELEV (ADMINISTRATOR)
(323) 463-4000
Entity
Organization
Contact information
Practice address
7014 W SUNSET BLVD, LOS ANGELES, CA 90028-7510
(323) 463-4000
(323) 463-4040
Mailing address
7014 W SUNSET BLVD, LOS ANGELES, CA 90028-7510
(323) 463-4000
(323) 463-4040
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ADU70333F
—
CA
Enumeration date
06/06/2007
Last updated
07/18/2007
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