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NPI Code Detail

MEDICARE: THE NEW YOU CENTER, INC.

MEDICARE: THE NEW YOU CENTER, 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 Agency190525ANCA

General Provider Information

NPI Number : 1871709055
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE NEW YOU CENTER, INC.
Provider Business Mailing Address
First Line : 1030 W FLORENCE AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90044-2442
Country : US
Telephone Number : 323-752-6601
Fax Number : 323-758-6095
Provider Business Practice Location Address
First Line : 1030 W FLORENCE AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90044-2442
Country : US
Telephone Number : 323-752-6601
Fax Number : 323-758-6095
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MESBEL ABDI MOHAMOUD
Credential : AA
Telephone Number : 323-752-6601
Provider Enumeration Date : 05/15/2007
Last Update Date : 08/22/2020

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Directions to “THE NEW YOU CENTER, INC. ” Practice Location

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