Organization
USC TELEHEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NADIA ISLAM PHD, LCSW (CLINICAL DIRECTOR)
(866) 740-6502
Entity
Organization
Contact information
Practice address
3375 S HOOVER ST, SUITE H201, LOS ANGELES, CA 90089-0116
(866) 740-6502
Mailing address
3375 S HOOVER ST, SUITE H201, LOS ANGELES, CA 90089-0116
(866) 740-6502
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/20/2013
Last updated
12/20/2013
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