Organization · NPI-2

A New Serenity

Public Health or Welfare · Los Angeles, CA

NPI number1457579674
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1457579674
Entity type
Organization (NPI-2)
Legal business name
A New Serenity
Organization subpart
No
Enumeration date
Apr 23, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251K00000X Public Health or Welfare262-3198-5CAYes

Practice location

5701 S Figueroa St
Los Angeles, CA 90037-4039

Phone 323-971-9000 · Fax 323-971-9474

Mailing address

5701 S Figueroa St
Los Angeles, CA 90037-4039

Phone 323-971-9000 · Fax 323-971-9474

Authorized official

Wayne Kelley
Executive Director
3239719000

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