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NPI Code Detail

MEDICARE: AIDS PROJECT LOS ANGELES

MEDICARE: AIDS PROJECT LOS ANGELES
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
1251B00000XCase Management Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1AYD000140OTHERCAMEDI-CAL

General Provider Information

NPI Number : 1275550980
Entity Type Code : Organization
Provider Name (Legal Business Name) : AIDS PROJECT LOS ANGELES
Provider Business Mailing Address
First Line : 611 S KINGSLEY DR
Second Line : 4TH FLOOR
City : LOS ANGELES
State : CA
Zip : 90005-2319
Country : US
Telephone Number : 213-201-1600
Fax Number : 213-201-1595
Provider Business Practice Location Address
First Line : 611 S KINGSLEY DR
Second Line : 4TH FLOOR
City : LOS ANGELES
State : CA
Zip : 90005-2319
Country : US
Telephone Number : 213-201-1600
Fax Number : 213-201-1595
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. CRAIG THOMPSON
Credential :
Telephone Number : 213-201-1456
Provider Enumeration Date : 07/17/2006
Last Update Date : 02/11/2014

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Directions to “AIDS PROJECT LOS ANGELES ” Practice Location

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