MEDICARE: CIRCLE OF HELP FOUNDATION

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1578826376
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CIRCLE OF HELP FOUNDATION

Provider Business Mailing Address
First Line	:	1011 GOODRICH BLVD
Second Line	:
City	:	COMMERCE
State	:	CA
Zip	:	90022-5102
Country	:	US
Telephone Number	:	323-888-9191
Fax Number	:	323-888-9222

Provider Business Practice Location Address
First Line	:	1200 COLTON ST
Second Line	:	#169, #175
City	:	LOS ANGELES
State	:	CA
Zip	:	90026-5816
Country	:	US
Telephone Number	:	323-888-9191
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	ELLEN SHAPIRO
Credential	:
Telephone Number	:	323-888-9191

Provider Enumeration Date	:	06/18/2012
Last Update Date	:	08/22/2013

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Directions to “CIRCLE OF HELP FOUNDATION ” Practice Location

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