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General NPI Number Information
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NPI Number | 1053490847
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Entity Type | Organization
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Legal Business Name | COMPTON MENTAL HEALTH CENTER
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 921 E COMPTON BLVD
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City | COMPTON
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State | CA
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Zip | 90221-3303
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Country | US
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Telephone | 310-668-6875
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Fax |
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Provider Business Mailing Address
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Address Line | 13015 EL MORADO ST
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City | LA MIRADA
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State | CA
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Zip | 90638-3449
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Country | US
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Telephone | 310-668-6875
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Fax |
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Authorized Official
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Title or Position | MH PSYCHIATRIST
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Name | NORMA AGUILAR
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Credential |
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Telephone | 310-668-6875
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A37060
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License Number State | CA
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