DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: GATEWAYS HOSPITAL & MENTAL HEALTH CENTER

MEDICARE: GATEWAYS HOSPITAL & MENTAL HEALTH CENTER
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)930000058CA

General Provider Information

NPI Number : 1700334992
Entity Type Code : Organization
Provider Name (Legal Business Name) : GATEWAYS HOSPITAL & MENTAL HEALTH CENTER
Provider Business Mailing Address
First Line : 1891 EFFIE ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90026-1711
Country : US
Telephone Number : 323-644-2000
Fax Number :
Provider Business Practice Location Address
First Line : 320 N MADISON AVE STE B
Second Line :
City : LOS ANGELES
State : CA
Zip : 90004-3791
Country : US
Telephone Number : 323-644-2026
Fax Number :
Authorized Official
Title or Position : ADMINISTRATIVE SUPERVISOR
Name : ZIANNA JACKSON
Credential :
Telephone Number : 323-644-2000
Provider Enumeration Date : 09/15/2016
Last Update Date : 06/11/2026

Similar Medicare Providers

1497884613 — GATEWAYS HOSPITAL & MENTAL HEALTH CENTER
Practice Location Address:
320 N MADISON AVE STE B
LOS ANGELES, CA
90004-3791
Practice Phone: 323-644-2040
Practice Fax: 323-660-6866
1609036516 — CHRISTA NICHELL NETTLES
Practice Location Address:
320 N MADISON AVE STE B
LOS ANGELES, CA
90004-3791
Practice Phone: 323-644-2040
Practice Fax:
1679228985 — ANTHONY BERRIOS
Practice Location Address:
320 N MADISON AVE STE B
LOS ANGELES, CA
90004-3791
Practice Phone: 323-644-2026
Practice Fax:
1235853722 — JIAYI YANG
Practice Location Address:
320 N MADISON AVE STE B
LOS ANGELES, CA
90004-3791
Practice Phone: 646-749-4542
Practice Fax:
1568200368 — CRYSTAL KELLEY
Practice Location Address:
320 N MADISON AVE STE B
LOS ANGELES, CA
90004-3791
Practice Phone: 323-344-2026
Practice Fax:
1558187351 — MS. RYEISHA SHAWNTAE MOORE-NASH
Practice Location Address:
320 N MADISON AVE STE B
LOS ANGELES, CA
90004-3791
Practice Phone: 661-794-8989
Practice Fax:

Directions to “GATEWAYS HOSPITAL & MENTAL HEALTH CENTER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.