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General NPI Number Information
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NPI Number | 1154210359
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Entity Type | Organization
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Legal Business Name | RONALD MCDONALD HOUSE CHARITIES OF SOUTHERN CALIFORNIA
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Dates
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Enumeration Date | 07/01/2025
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 4560 FOUNTAIN AVE
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City | LOS ANGELES
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State | CA
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Zip | 90029-1913
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Country | US
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Telephone | 805-368-0294
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Fax |
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Provider Business Mailing Address
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Address Line | 4560 FOUNTAIN AVE
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City | LOS ANGELES
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State | CA
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Zip | 90029-1913
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Country | US
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Telephone | 805-368-0294
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | VICKI HOLLOWAY
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Credential |
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Telephone | 323-644-3094
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 177F00000X
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Taxonomy Name | Lodging Provider
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License Number |
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License Number State |
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