Organization
DEPARTMENT OF MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA ALEJANDRA HERNANDEZ (INTERN)
(323) 388-7053
Entity
Organization
Contact information
Practice address
4040 ADAIR ST, LOS ANGELES, CA 90011-2902
(323) 388-7053
Mailing address
4040 ADAIR ST, LOS ANGELES, CA 90011-2902
(323) 388-7053
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
—
—
273Y00000X
Rehabilitation Hospital Unit
Primary
X
CA
Other
Enumeration date
08/22/2008
Last updated
07/21/2022
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