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Organization

COUNTY OF LOS ANGELES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CRAIG BAKER (PROGRAM DIRECTOR)
(323) 442-5849
Entity
Organization

Contact information

Practice address
1520 SAN PABLO ST, SUITE 4300, LOS ANGELES, CA 90033-5310
(323) 442-5849
Mailing address
1520 SAN PABLO ST, SUITE 4300, LOS ANGELES, CA 90033-5310

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
140331
CA

Other

Enumeration date
03/03/2016
Last updated
03/03/2016
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