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Organization

AURORA CHARTER OAK-LOS ANGELES, LLC

Active
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Organization

AURORA CHARTER OAK-LOS ANGELES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TODD SMITH (CHIEF EXECUTIVE OFFICER)
(626) 966-1632
Entity
Organization

Contact information

Practice address
1161 E COVINA BLVD, COVINA, CA 91724-1523
(626) 966-1632
(626) 859-5292
Mailing address
1161 E COVINA BLVD, COVINA, CA 91724-1523
(626) 966-1632
(626) 859-5292

Taxonomy

Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
HSM34069H
CA
05
HSP34069H
CA
05
HSP44069H
CA
Enumeration date
04/27/2006
Last updated
08/22/2020
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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