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NPI Code Detail

MEDICARE: KEDREN ACUTE PSYCHIATRIC HOSPITAL

MEDICARE: KEDREN ACUTE PSYCHIATRIC HOSPITAL
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
1183500000XPharmacist43260CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184774507
Entity Type Code : Organization
Provider Name (Legal Business Name) : KEDREN ACUTE PSYCHIATRIC HOSPITAL
Provider Business Mailing Address
First Line : 4211 AVALON BLVD
Second Line : SUITE 2
City : LOS ANGELES
State : CA
Zip : 90011-5622
Country : US
Telephone Number : 323-432-5183
Fax Number : 323-231-9414
Provider Business Practice Location Address
First Line : 4211 AVALON BLVD
Second Line : SUITE 2
City : LOS ANGELES
State : CA
Zip : 90011-5622
Country : US
Telephone Number : 323-432-5183
Fax Number : 323-231-9414
Authorized Official
Title or Position : PRESIDENT & CEO
Name : DR. JOHN H GRIFFITH
Credential : PHD
Telephone Number : 323-233-0425
Provider Enumeration Date : 01/10/2007
Last Update Date : 08/22/2020

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Directions to “KEDREN ACUTE PSYCHIATRIC HOSPITAL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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