Organization
SPECIAL SERVICE FOR GROUPS
Active
Other names
SSG- Cambodian Assn of America
Organization subpart
No
Provider details
NPI number
Authorized official
HERBERT HATANAKA (EXECUTIVE DIRECTOR)
(213) 553-1800
Entity
Organization
Contact information
Practice address
2390 PACIFIC AVE, LONG BEACH, CA 90806-3051
(562) 988-1863
(562) 988-1475
Mailing address
605 W OLYMPIC BLVD, SUITE 600, LOS ANGELES, CA 90015-1400
(213) 553-1800
(213) 553-1822
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/05/2007
Last updated
08/22/2020
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