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Organization

COUNTY OF LOS ANGELES

Active
Other names
Correctional Health Services
Organization subpart
No

Provider details

NPI number
Authorized official
SEAN HENDERSON MD (CHIEF MEDICAL OFFICER)
(213) 893-5304
Entity
Organization

Contact information

Practice address
450 BAUCHET ST, 8TH FLOOR, ROOM E815, LOS ANGELES, CA 90012
(213) 893-5883
(213) 633-4663
Mailing address
1000 S. FREMONT AVE., UNIT #9, BLDG A11, GROUND FL, SUITE A11010, ALHAMBRA, CA 91803-8801
(626) 525-6076

Taxonomy

Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary

Other

Enumeration date
10/03/2023
Last updated
10/03/2023
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