Organization
DEPARTMENT OF MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL ANYANKOR JR. (MEDICAL CASE WORKER 1)
(310) 668-3043
Entity
Organization
Contact information
Practice address
1720 E 120TH ST, LOS ANGELES, CA 90059-3052
(310) 668-3404
Mailing address
1720 E 120TH ST, LOS ANGELES, CA 90059-3052
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/15/2011
Last updated
07/19/2011
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