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NPI Code Detail

MEDICARE: BIENESTAR HUMAN SERVICES INC

MEDICARE: BIENESTAR HUMAN SERVICES 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
2261QC1500XCommunity Health Clinic/Center

General Provider Information

NPI Number : 1548690035
Entity Type Code : Organization
Provider Name (Legal Business Name) : BIENESTAR HUMAN SERVICES INC
Provider Business Mailing Address
First Line : 5326 E BEVERLY BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90022-2104
Country : US
Telephone Number : 323-545-6577
Fax Number : 323-476-0397
Provider Business Practice Location Address
First Line : 5326 E BEVERLY BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90022-2104
Country : US
Telephone Number : 323-727-7896
Fax Number : 323-727-0284
Authorized Official
Title or Position : CEO
Name : MR. ROBERT CONTRERAS
Credential : MBA
Telephone Number : 323-727-7896
Provider Enumeration Date : 11/19/2013
Last Update Date : 05/22/2025

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Directions to “BIENESTAR HUMAN SERVICES INC ” Practice Location

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