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NPI Code Detail

MEDICARE: ASPIRA FOSTER & FAMILY SERVICES - LOS ANGELES

MEDICARE: ASPIRA FOSTER & FAMILY SERVICES - LOS ANGELES
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 AgencyCA

General Provider Information

NPI Number : 1821132317
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASPIRA FOSTER & FAMILY SERVICES - LOS ANGELES
Provider Business Mailing Address
First Line : 5730 UPLANDER WAY
Second Line : SUITE 202
City : CULVER CITY
State : CA
Zip : 90230-6617
Country : US
Telephone Number : 310-410-5180
Fax Number : 310-410-5188
Provider Business Practice Location Address
First Line : 5730 UPLANDER WAY
Second Line : SUITE 202
City : CULVER CITY
State : CA
Zip : 90230-6617
Country : US
Telephone Number : 310-410-5180
Fax Number : 310-410-5188
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MR. VERNON BROWN
Credential :
Telephone Number : 650-866-4080
Provider Enumeration Date : 02/16/2007
Last Update Date : 08/27/2007

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Directions to “ASPIRA FOSTER & FAMILY SERVICES - LOS ANGELES ” Practice Location

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