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General NPI Number Information
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NPI Number | 1720451396
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Entity Type | Organization
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Legal Business Name | LOS ANGELES LGBT CENTER
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Dates
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Enumeration Date | 11/04/2015
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Last Update Date | 09/26/2024
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Provider Practice Location Address
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Address Line | 8745 SANTA MONICA BLVD 2ND FLOOR
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90069-4507
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Country | US
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Telephone | 323-993-7440
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Fax |
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Provider Business Mailing Address
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Address Line | 8745 SANTA MONICA BLVD 2ND FLOOR
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90069-4507
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Country | US
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Telephone | 323-993-7440
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | ROBYN GOLDMAN
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Credential |
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Telephone | 323-993-8948
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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