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KEDREN COMMUNITY HEALTH CENTER INC. NPI 1255548483


NPI Information

NPI: 1255548483
Provider Name: KEDREN COMMUNITY HEALTH CENTER, INC.

Doing Business As: KEDREN COMMUNITY MENTAL HEALTH CENTER

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
4211 SOUTH AVALON BLVD
LOS ANGELES, CA
ZIP 90011
Phone: (323) 432-5093
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KEDREN COMMUNITY HEALTH CENTER, INC. is a general practice in Los Angeles, CA. KEDREN COMMUNITY HEALTH CENTER, INC. NPI is 1255548483. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Kedren Community Mental Health Center.

The provider's business location address is:

4211 SOUTH AVALON BLVD
LOS ANGELES, CA
ZIP 90011
Phone: (323) 432-5093
Fax: (323) 233-5015

The provider's authorized official is Earle Charles Charles .
The authorized official title is Chief Information Officer and has the following contact phone number (323) 432-5093.

The enumeration date for this NPI number is 5/17/2007 and was last updated on 4/16/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.