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Organization

DEPARTMENT OF MENTAL HEALTH

Active
Other names
Harbor UCLA
Organization subpart
No

Provider details

NPI number
Authorized official
MS. VICKIE BURRIS 05/07 (SR. MHC RN)
(310) 222-1732
Entity
Organization

Contact information

Practice address
1000 W. CARSON STREET, TORRANCE, CA 90501
(310) 222-1732
(310) 222-5651
Mailing address
1000 W CARSON ST, TORRANCE, CA 90502-2004
(310) 222-1732
(310) 222-5651

Taxonomy

Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
362151
CA

Other

Enumeration date
02/03/2010
Last updated
02/03/2010
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