Organization
ALL SAINTS OUTPATIENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADEGBENGA A ADETOLA (PRESIDENT/CEO)
(310) 631-2822
Entity
Organization
Contact information
Practice address
3591 EAST IMPERIAL HIGHWAY, LYNWOOD, CA 90262-2684
(310) 631-2838
Mailing address
3591 EAST IMPERIAL HIGHWAY, LYNWOOD, CA 90262-2684
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
11/16/2009
Last updated
11/16/2009
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