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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