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NPI Code Detail

MEDICARE: UNITED AMERICAN INDIAN IVOLVEMENT

MEDICARE: UNITED AMERICAN INDIAN IVOLVEMENT
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1467662528
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNITED AMERICAN INDIAN IVOLVEMENT
Provider Business Mailing Address
First Line : 1125 W 6TH ST STE 103
Second Line :
City : LOS ANGELES
State : CA
Zip : 90017-1896
Country : US
Telephone Number : 213-241-0979
Fax Number : 213-241-0925
Provider Business Practice Location Address
First Line : 1125 W 6TH ST STE 103
Second Line :
City : LOS ANGELES
State : CA
Zip : 90017-1896
Country : US
Telephone Number : 213-241-0979
Fax Number : 213-241-0925
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. DAVE RAMBEAU
Credential :
Telephone Number : 213-241-0979
Provider Enumeration Date : 05/23/2007
Last Update Date : 08/22/2020

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Directions to “UNITED AMERICAN INDIAN IVOLVEMENT ” Practice Location

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