Organization
YANSON, LLC
Active
Other names
Alma Lodge
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AIDA B. YANSON (ADMINISTRATOR)
(323) 254-6817
Entity
Organization
Contact information
Practice address
1750 COLORADO BLVD., LOS ANGELES, CA 90041-1349
(323) 254-6817
Mailing address
1750 COLORADO BLVD, LOS ANGELES, CA 90041-1349
(323) 254-6817
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
197602569
CA
Other
Enumeration date
08/02/2011
Last updated
08/02/2011
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