Healthcare Provider Details

I. General information

NPI: 1174659957
Provider Name (Legal Business Name): ALL FOR KIDS ORGANIZATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3435 WILSHIRE BLVD STE 1840
LOS ANGELES CA
90010-2004
US

IV. Provider business mailing address

3435 WILSHIRE BLVD STE 1840
LOS ANGELES CA
90010-2004
US

V. Phone/Fax

Practice location:
  • Phone: 323-953-7350
  • Fax: 323-661-5046
Mailing address:
  • Phone: 323-953-7350
  • Fax: 323-661-5046

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateCA

VIII. Authorized Official

Name: LETICIA H JUAREZ
Title or Position: QA ADMINISTRATIVE MANAGER
Credential:
Phone: 213-342-0150