Gold Star Community Health Center, INC.
Clinic/Center, Mental Health (Including Community Mental Health Center) in N Hollywood, CA. Organization (NPI-2).
NPI number1124696349
StatusActive
Last updated in NPPESJun 14, 2021
Details
- NPI
- 1124696349
- Entity type
- Organization (NPI-2)
- Legal business name
- Gold Star Community Health Center, INC.
- Organization subpart
- No
- Enumeration date
- Jun 14, 2021
- Certification date
- Jun 14, 2021
- Last updated
- Jun 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
6343 Vineland AveN Hollywood, CA 91606-3721
Phone 747-877-2789
Mailing address
6343 Vineland AveN Hollywood, CA 91606-3721
Phone 747-877-2789
Authorized official
Ella Undzhyan
Ceo
7478772788
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