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General NPI Number Information
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NPI Number | 1760841126
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Entity Type | Organization
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Legal Business Name | COUNTY OF LOS ANGELES
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Dates
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Enumeration Date | 02/15/2016
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Last Update Date | 02/15/2016
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Provider Practice Location Address
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Address Line | 5800 SOUTH ST APT 163
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City | LAKEWOOD
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State | CA
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Zip | 90713-1331
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Country | US
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Telephone | 562-353-0090
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Fax |
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Provider Business Mailing Address
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Address Line | 5800 SOUTH ST APT 163
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City | LAKEWOOD
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State | CA
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Zip | 90713-1331
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Country | US
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Telephone | 562-353-0090
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Fax |
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Authorized Official
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Title or Position | RN1
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Name | MRS. CLARA ANGIE LUNA
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Credential | RN, BSN
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Telephone | 213-893-5391
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | 713918
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License Number State | CA
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