Organization
BIENVENIDOS CHILDRENS CENTER
Active
Other names
EAST LA MENS HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE MORAN MD (MEDICAL DIRECTOR)
(323) 726-9790
Entity
Organization
Contact information
Practice address
5257 E BEVERLY BLVD, LOS ANGELES, CA 90022-2020
(323) 726-9790
(323) 726-9789
Mailing address
5257 E BEVERLY BLVD, LOS ANGELES, CA 90022-2020
(323) 726-9790
(323) 726-9789
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A63662
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EAP70881F
—
CA
Enumeration date
05/04/2007
Last updated
08/22/2020
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