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NPI Code Detail

MEDICARE: CALIFORNIA INSTITUTE OF HEALTH & SOCIAL SERVICES INC

MEDICARE: CALIFORNIA INSTITUTE OF HEALTH & SOCIAL SERVICES 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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1881915916
Entity Type Code : Organization
Provider Name (Legal Business Name) : CALIFORNIA INSTITUTE OF HEALTH & SOCIAL SERVICES INC
Provider Business Mailing Address
First Line : 8929 S SEPULVEDA BLVD STE 200
Second Line :
City : LOS ANGELES
State : CA
Zip : 90045-3643
Country : US
Telephone Number : 310-645-5227
Fax Number : 310-645-9840
Provider Business Practice Location Address
First Line : 8929 S SEPULVEDA BLVD STE 200
Second Line :
City : LOS ANGELES
State : CA
Zip : 90045-3643
Country : US
Telephone Number : 310-645-5227
Fax Number : 310-645-9840
Authorized Official
Title or Position : QA
Name : CYNTHIA MARSHALL
Credential :
Telephone Number : 310-645-5227
Provider Enumeration Date : 06/11/2010
Last Update Date : 06/11/2010

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Directions to “CALIFORNIA INSTITUTE OF HEALTH & SOCIAL SERVICES INC ” Practice Location

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