GATEWAYS SATELLITE OUTPATIENT CLINIC NPI 1316450794

NPI Information

GATEWAYS SATELLITE OUTPATIENT CLINIC is a mental health (including community mental health center) clinic center in Los Angeles, CA. GATEWAYS SATELLITE OUTPATIENT CLINIC NPI is 1316450794. The provider is registered as an organization entity type.
The provider Other Name Is Gateways Satellite.

The provider's business location address is:

433 N HOOVER ST
LOS ANGELES, CA
ZIP 90004-306
Phone: (323) 644-2000
Fax: (323) 953-6588

The provider's authorized official is Princess Berrymon .
The authorized official title is Prof Staff Coordinator and has the following contact phone number (323) 644-2000.

The enumeration date for this NPI number is 11/8/2017 and was last updated on 11/21/2017.

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:

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