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NPI Code Detail

MEDICARE: EL CENTRO DEL PUEBLO, INC.

MEDICARE: EL CENTRO DEL PUEBLO, INC.
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 : 1174727515
Entity Type Code : Organization
Provider Name (Legal Business Name) : EL CENTRO DEL PUEBLO, INC.
Provider Business Mailing Address
First Line : 1157 LEMOYNE ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90026-3206
Country : US
Telephone Number : 213-483-6335
Fax Number : 213-483-5523
Provider Business Practice Location Address
First Line : 1157 LEMOYNE ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90026-3206
Country : US
Telephone Number : 213-483-6335
Fax Number : 213-483-9876
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MS. SANDRA FIGUEROA VILLA
Credential :
Telephone Number : 213-483-6335
Provider Enumeration Date : 06/11/2007
Last Update Date : 12/13/2023

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Directions to “EL CENTRO DEL PUEBLO, INC. ” Practice Location

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