Department Of Health Services
Clinic/Center, Prison Health in Los Angeles, CA. Organization (NPI-2).
NPI number1043668023
StatusActive
Last updated in NPPESMay 31, 2016
Details
- NPI
- 1043668023
- Entity type
- Organization (NPI-2)
- Legal business name
- Department Of Health Services
- Organization subpart
- No
- Enumeration date
- May 31, 2016
- Last updated
- May 31, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2400X | Clinic/Center, Prison Health | 14185 | CA | Yes |
Other names
- Los Angeles County Sheriff'S Department (Other Name)
Practice location
450 Bauchet StMsb ----Room E873
Los Angeles, CA 90012-2907
Phone 323-568-4550
Mailing address
450 Bauchet StMsb ----Room E873
Los Angeles, CA 90012-2907
Phone 323-568-4550
Authorized official
Michele M Green
Nurse Practitioner Whcnp
3107024285
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