Healthcare Provider Details

I. General information

NPI: 1386883379
Provider Name (Legal Business Name): BIENVENIDOS CHILDREN'S CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2009
Last Update Date: 02/13/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

507 S ATLANTIC BLVD
LOS ANGELES CA
90022-2621
US

IV. Provider business mailing address

316 W 2ND ST STE 800
LOS ANGELES CA
90012-3533
US

V. Phone/Fax

Practice location:
  • Phone: 323-268-9191
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number190285AN
License Number StateCA

VIII. Authorized Official

Name: MR. RITCHIE GEISEL
Title or Position: CEO
Credential:
Phone: 213-785-5906