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General NPI Number Information
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NPI Number | 1700675998
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Entity Type | Organization
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Legal Business Name | WESTSIDE CONNECTION LOS ANGELES
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 05/17/2025
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Provider Practice Location Address
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Address Line | 3308 W 113TH ST
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City | INGLEWOOD
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State | CA
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Zip | 90303-2202
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Country | US
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Telephone | 310-985-4157
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Fax |
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Provider Business Mailing Address
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Address Line | 3308 W 113TH ST
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City | INGLEWOOD
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State | CA
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Zip | 90303-2202
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Country | US
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Telephone | 310-985-4157
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | CASSANDRA GONZALEZ
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Credential | CMHPSS
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Telephone | 310-985-4157
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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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