| Aviva Family & Children's Services | |
|
4066 W. 17th Street Los Angeles CA 90019 | |
| (323) 730-4300 | |
| Not Available |
| Full Name | Aviva Family & Children's Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4066 W. 17th Street, Los Angeles, California |
| Authorized Official Name and Position | Jill Landefeld (DIRECTOR, SCHOOL-BASED SERVICES) |
| Authorized Official Contact | 2136375000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aviva Family & Children's Services 3580 Wilshire Blvd 800 Los Angeles CA 90010-2501 Ph: (213) 637-5000 | Aviva Family & Children's Services 4066 W. 17th Street Los Angeles CA 90019 Ph: (323) 730-4300 |
| NPI Number | 1093241309 |
|---|---|
| Provider Enumeration Date | 05/05/2017 |
| Last Update Date | 05/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093241309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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