Organization
COUNTY OF LOS ANGELES AUDITOR CONTROLLER
Active
Parent organization
COUNTY OF LOS ANGELES AUDITOR CONTROLLER
Other names
La Puente Sub Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF LOS ANGELES AUDITOR CONTROLLER
Authorized official
VIRGINIA PEREZ (CHIEF, CONSOLIDATED BUSINESS OFFICE)
(323) 914-7622
Entity
Organization
Contact information
Practice address
15930 CENTRAL AVE, LA PUENTE, CA 91744-5410
(626) 579-8302
Mailing address
15930 CENTRAL AVE, LA PUENTE, CA 91744-5410
(626) 579-8302
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC16100F
—
CA
Enumeration date
08/14/2006
Last updated
05/30/2019
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