Organization
ADVANCED IOP THERAPIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA SAMPSON (CHIEF OPERATIONS OFFICER)
(310) 572-7000
Entity
Organization
Contact information
Practice address
11936 JEFFERSON BLVD STE B, CULVER CITY, CA 90230-6333
(310) 572-7000
(310) 572-7003
Mailing address
11936 JEFFERSON BLVD STE B, CULVER CITY, CA 90230-6333
(310) 572-7000
(310) 572-7003
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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