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NPI 1891013058

NPI 1891013058 : ALZHEIMER'S GREATER LOS ANGELES : LOS ANGELES, CA

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General NPI Number Information
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    NPI Number           |    1891013058
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALZHEIMER'S GREATER LOS ANGELES 
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Dates
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    Enumeration Date     |    05/12/2010
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    Last Update Date     |    01/15/2026
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Provider Practice Location Address
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    Address Line         |    2922 CRENSHAW BLVD STE 125 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90016-4265
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    Country              |    US
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    Telephone            |    323-930-6237
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2922 CRENSHAW BLVD STE 125 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90016-4265
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    Country              |    US
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    Telephone            |    323-930-6237
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    Fax                  |    
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Authorized Official
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    Title or Position    |    COO
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    Name                 |     BRET  SCHAEFER 
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    Credential           |    MBA, CPA
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    Telephone            |    650-823-9952
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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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Taxonomy #2
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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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