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General NPI Number Information
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NPI Number | 1376412288
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Entity Type | Organization
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Legal Business Name | MOSAIC BEHAVIORAL CARE LLC
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Dates
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Enumeration Date | 10/30/2025
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 500 S SEPULVEDA BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90049-3540
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Country | US
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Telephone | 323-303-6078
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Fax |
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Provider Business Mailing Address
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Address Line | 11330 ELKWOOD ST
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City | SUN VALLEY
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State | CA
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Zip | 91352-4439
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANGEL GONZALEZ
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Credential | BCBA
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Telephone | 323-303-6078
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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