MEDICARE: DIDI HIRSCH PSYCHIATRIC SERVICE

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
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1700469830
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIDI HIRSCH PSYCHIATRIC SERVICE

Provider Business Mailing Address
First Line	:	4760 SEPULVEDA BLVD
Second Line	:
City	:	CULVER CITY
State	:	CA
Zip	:	90230-4820
Country	:	US
Telephone Number	:	310-390-6612
Fax Number	:	310-751-5481

Provider Business Practice Location Address
First Line	:	3500 W TEMPLE ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90004-3620
Country	:	US
Telephone Number	:	213-736-5566
Fax Number	:	213-736-5066

Authorized Official
Title or Position	:	CONTRACTS AND GRANTS MANAGER
Name	:	DULCE M RUIZ
Credential	:
Telephone Number	:	310-751-5442

Provider Enumeration Date	:	05/05/2021
Last Update Date	:	05/05/2021

Similar Medicare Providers

1760684849 — MS. RHODA LEYA PREGERSON MA MFT
Practice Location Address:

3620 BARRY AVE
LOS ANGELES, CA
90066

Practice Phone: 310-391-2235
Practice Fax: 310-397-3278

1629377247 — PRISCILLA DE LEON L.C.S.W.
Practice Location Address:

3915 W 64TH ST
LOS ANGELES, CA
90043-3620

Practice Phone: 310-280-8516
Practice Fax:

1841952520 — MR. FRENZ DAVE MALIC DELFIN FNP-C
Practice Location Address:

808 W 55TH ST
LOS ANGELES, CA
90037-3620

Practice Phone: 323-541-1411
Practice Fax:

1427095025 — HELPING HANDS CHILDREN'S REHABILITATION CENTER, LLP
Practice Location Address:

503 W OCEAN BLVD
LOS FRESNOS, TX
78566-3620

Practice Phone: 956-233-8833
Practice Fax:

1942398151 — LITTLE LIGHTHOUSE CHILDRENS REHAB
Practice Location Address:

503 W OCEAN BLVD STE B
LOS FRESNOS, TX
78566-3620

Practice Phone: 956-233-4111
Practice Fax: 956-233-4115

1063375772 — MISS JENJIRA WONG
Practice Location Address:

133 N SERRANO AVE
LOS ANGELES, CA
90004-4205

Practice Phone: 347-822-6360
Practice Fax:

Directions to “DIDI HIRSCH PSYCHIATRIC SERVICE ” 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 © 2007-2025 (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.