Organization
COUNTY OF LOS ANGELES AUDITOR CONTROLLER
Active
Other names
County of Los Angeles -Rancho Los Amigos
Organization subpart
No
Provider details
NPI number
Authorized official
MINDY AISEN MD (MEDICAL DIRECTOR)
(562) 803-0124
Entity
Organization
Contact information
Practice address
7601 IMPERIAL HWY, DOWNEY, CA 90242-3456
(562) 803-0124
(562) 803-5569
Mailing address
PO BOX 514316, TERMINAL ANNEX, LOS ANGELES, CA 90051-2316
(562) 803-0124
(562) 803-5569
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M052014
MEDICARE NUMBER
CA
Enumeration date
09/12/2006
Last updated
04/14/2010
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