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NPI Code Detail

MEDICARE: MENTAL HEALTH AMERICA OF LOS ANGELES

MEDICARE: MENTAL HEALTH AMERICA OF LOS ANGELES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1003138009
Entity Type Code : Organization
Provider Name (Legal Business Name) : MENTAL HEALTH AMERICA OF LOS ANGELES
Provider Business Mailing Address
First Line : 3633 E BROADWAY STE 200
Second Line :
City : LONG BEACH
State : CA
Zip : 90803-6035
Country : US
Telephone Number : 562-285-1330
Fax Number : 562-263-3395
Provider Business Practice Location Address
First Line : 3633 E BROADWAY STE 200
Second Line :
City : LONG BEACH
State : CA
Zip : 90803-6035
Country : US
Telephone Number : 562-285-1330
Fax Number : 562-263-3395
Authorized Official
Title or Position : PRESIDENT AND CEO
Name : DR. CHRISTINA MILLER
Credential : PHD
Telephone Number : 562-285-1330
Provider Enumeration Date : 02/18/2010
Last Update Date : 09/09/2024

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Directions to “MENTAL HEALTH AMERICA OF LOS ANGELES ” Practice Location

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