Organization
COUNTY OF LOS ANGELES
Active
Other names
Los Angeles Co MIDVALLEY COMP HLTH CTR
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE KHALIL PHARM.D. (PHARMACY SERVICES CHIEF II)
(818) 947-4613
Entity
Organization
Contact information
Practice address
7555 VAN NUYS BLVD RM 1071, VAN NUYS, CA 91405-1949
(818) 947-4050
Mailing address
7555 VAN NUYS BLVD, VAN NUYS, CA 91405-1949
(818) 947-4050
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
PHE 44731
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHE 44731
PHARMACY LICENSE
CA
Enumeration date
08/30/2006
Last updated
02/13/2024
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