Organization
COUNTY OF LOS ANGELES AUDITOR CONTROLLER
Active
Other names
Hubert H. Humphrey CHC
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA PEREZ (CHIEF, CONSOLIDATED BUSINESS OFFICE)
(323) 914-7622
Entity
Organization
Contact information
Practice address
5850 S MAIN ST, LOS ANGELES, CA 90003-1215
(323) 846-4321
Mailing address
5850 S MAIN ST, LOS ANGELES, CA 90003-1215
(323) 846-4321
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC11866F
—
CA
Enumeration date
08/02/2006
Last updated
05/30/2019
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