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General NPI Number Information
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NPI Number | 1497780084
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Entity Type | Organization
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Legal Business Name | LOS ALAMITOS MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 03/23/2022
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Provider Practice Location Address
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Address Line | 3751 KATELLA AVE
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-3101
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Country | US
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Telephone | 562-598-1311
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Fax |
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Provider Business Mailing Address
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Address Line | FILE 57484
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City | LOS ANGELES
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State | CA
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Zip | 90074-7484
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Country | US
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Telephone | 626-300-4122
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Fax | 562-493-2812
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Authorized Official
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Title or Position | CFO
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Name | JEFFREY ROBEY
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Credential |
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Telephone | 562-799-3528
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 060000142
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License Number State | CA
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