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General NPI Number Information
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NPI Number | 1306056320
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Entity Type | Organization
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Legal Business Name | EAST LOS ANGELES HEALTH TASK FORCE
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 5648 VINELAND AVE
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91601-2028
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Country | US
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Telephone | 323-881-1112
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Fax |
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Provider Business Mailing Address
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Address Line | 2120 E 6TH ST
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City | LOS ANGELES
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State | CA
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Zip | 90023-1202
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Country | US
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Telephone | 323-261-2171
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. SUSANNA DELAGADO ARELLANO
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Credential |
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Telephone | 323-261-2171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261QF0050X
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Taxonomy Name | Non-Surgical Family Planning Clinic/Center
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License Number |
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State | CA
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