COUNTY OF LOS ANGELES

NPI # 

Practice Address:

450 Bauchet St, 8Th Floor, Room E815

Los Angeles, CA, 90012

Practice Phone:

213-893-5883

Practice Fax:

213-633-4663

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Prison Health

Taxonomy Code:

261QP2400X