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NPI Code Detail

MEDICARE: ST. ANNE'S FAMILY SERVICES

MEDICARE: ST. ANNE'S FAMILY SERVICES
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
1261QM0855XAdolescent and Children Mental Health Clinic/Center191802087CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17538OTHERCALA COUNTY DMH PROVIDER #

General Provider Information

NPI Number : 1134255458
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST. ANNE'S FAMILY SERVICES
Provider Business Mailing Address
First Line : 155 N OCCIDENTAL BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90026-4641
Country : US
Telephone Number : 213-381-2931
Fax Number : 213-381-7804
Provider Business Practice Location Address
First Line : 155 N OCCIDENTAL BLVD
Second Line : FLOOR 1, 2 & 3
City : LOS ANGELES
State : CA
Zip : 90026-4641
Country : US
Telephone Number : 213-381-2931
Fax Number : 213-381-7804
Authorized Official
Title or Position : PRESIDENT AND CEO
Name : MS. LORNA LITTLE
Credential : MSW
Telephone Number : 213-381-2931
Provider Enumeration Date : 02/23/2007
Last Update Date : 07/07/2021

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