Healthcare Provider Details

I. General information

NPI: 1326596156
Provider Name (Legal Business Name): CENTER FOR HEALTH JUSTICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2016
Last Update Date: 09/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 AVILA ST STE 301
LOS ANGELES CA
90012-3871
US

IV. Provider business mailing address

900 AVILA ST STE 301
LOS ANGELES CA
90012-3871
US

V. Phone/Fax

Practice location:
  • Phone: 213-229-0985
  • Fax: 213-229-0986
Mailing address:
  • Phone: 213-229-0985
  • Fax: 213-229-0986

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: MR. CAJETAN LUNA
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 213-229-0985