Organization
DIDI HIRSCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY YVETTE RAMIREZ MFTI (BILINGUAL THERAPIST I)
(310) 751-5437
Entity
Organization
Contact information
Practice address
12420 VENICE BLVD, 200, LOS ANGELES, CA 90066-3840
(310) 751-1200
Mailing address
4760 SEPULVEDA BLVD, CULVER CITY, CA 90230-4820
(310) 157-5437
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
54436
CA
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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