MEDICARE: BIENVENIDOS CHILDREN'S CENTER, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1164623294
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIENVENIDOS CHILDREN'S CENTER, INC.

Provider Business Mailing Address
First Line	:	205 E PALM ST
Second Line	:
City	:	ALTADENA
State	:	CA
Zip	:	91001-4825
Country	:	US
Telephone Number	:	626-798-7222
Fax Number	:	626-798-8444

Provider Business Practice Location Address
First Line	:	5257 E BEVERLY BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90022-2020
Country	:	US
Telephone Number	:	323-201-4154
Fax Number	:	323-201-4159

Authorized Official
Title or Position	:	INTERIM PRESIDENT & CEO
Name	:	SCHULMAN JANET
Credential	:
Telephone Number	:	626-798-7222

Provider Enumeration Date	:	05/29/2007
Last Update Date	:	08/22/2020

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