Organization
DEPARTMENT OF MENTAL HEALTH
Active
Organization
DEPARTMENT OF MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SAMINA IKRAMULLAH MSW, MPA (PSYCHIATRIC SOCIAL WORKER)
(562) 940-6077
Entity
Organization
Contact information
Practice address
550 S VERMONT AVE, LOS ANGELES, CA 90020-1912
(213) 738-3064
Mailing address
550 S VERMONT AVE, LOS ANGELES, CA 90020-1912
(213) 738-3064
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
A18120
CA
Other
Enumeration date
11/15/2006
Last updated
08/08/2007
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