PASSPORT HEALTH LOS ANGELES is a clinic center in Los Angeles, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PASSPORT HEALTH LOS ANGELES NPI is 1275866188. The provider is registered as an organization entity type.
The provider's business location address is:
5455 WILSHIRE BLVD
SUITE #1802
LOS ANGELES, CA
ZIP 90036-201
Phone: (323) 297-0700
Fax: (323) 549-9423
The provider's authorized official is Rayann Aziz .
The authorized official title is Executive Director and has the following contact phone number (323) 297-0700.
The CLIA number assigned to this NPI record is 05D2190348 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/9/2009 and was last updated on 9/9/2009.