Organization
CRYSTAL HOPE MEDICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY ONYEAGORO RN (EXECUTIVE DIRECTOR)
(310) 529-3006
Entity
Organization
Contact information
Practice address
1300 W OLYMPIC BLVD, SUITE 320, LOS ANGELES, CA 90015-3908
(310) 529-3006
Mailing address
1300 W OLYMPIC BLVD, SUITE 320, LOS ANGELES, CA 90015-3908
(310) 529-3006
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NOT YET
CA
Other
Enumeration date
09/08/2007
Last updated
09/08/2007
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