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NPI Code Detail

MEDICARE: L'CHAIM CMHC INC

MEDICARE: L'CHAIM CMHC 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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1447076369
Entity Type Code : Organization
Provider Name (Legal Business Name) : L'CHAIM CMHC INC
Provider Business Mailing Address
First Line : 1219 S LA BREA AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90019-1627
Country : US
Telephone Number : 323-821-6518
Fax Number :
Provider Business Practice Location Address
First Line : 1219 S LA BREA AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90019-1627
Country : US
Telephone Number : 323-821-6518
Fax Number :
Authorized Official
Title or Position : CFO/PRESIDENT
Name : POLINA TSIKMAN
Credential :
Telephone Number : 323-821-6518
Provider Enumeration Date : 11/25/2024
Last Update Date : 11/25/2024

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Directions to “L'CHAIM CMHC INC ” Practice Location

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