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Organization

CHILDREN'S HOSPITAL LOS ANGELES MENTAL HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MAX SCOTT LIEBERENZ CPA (SR.VP/CFO)
(323) 361-2235
Entity
Organization

Contact information

Practice address
3250 WILSHIRE BLVD FL 3, LOS ANGELES, CA 90010-1577
(323) 361-3189
Mailing address
3250 WILSHIRE BLVD FL 3, LOS ANGELES, CA 90010-1577

Taxonomy

Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary

Other

Enumeration date
01/24/2012
Last updated
11/17/2022
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