Organization
DIDI HIRSCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROD A SMITH BS (COUNSELOR)
(562) 634-7111
Entity
Organization
Contact information
Practice address
1007 MYRTLE AVE, INGLEWOOD, CA 90301-4009
(310) 412-4191
(310) 412-3942
Mailing address
14005 ARTHUR AVE APT 10, PARAMOUNT, CA 90723-2270
(562) 634-7111
(562) 634-7111
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32
32
CA
Enumeration date
03/14/2007
Last updated
08/22/2020
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