| Los Angeles Gender Center | |
|
11350 Ventura Blvd Ste 201 Studio City CA 91604-3140 | |
| (530) 513-9473 | |
| Not Available |
| Full Name | Los Angeles Gender Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 11350 Ventura Blvd Ste 201, Studio City, California |
| Authorized Official Name and Position | Aydin Olson-kennedy (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5305139473 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Los Angeles Gender Center 11350 Ventura Blvd Ste 201 Studio City CA 91604-3140 Ph: (530) 513-9473 | Los Angeles Gender Center 11350 Ventura Blvd Ste 201 Studio City CA 91604-3140 Ph: (530) 513-9473 |
| NPI Number | 1255896403 |
|---|---|
| Provider Enumeration Date | 02/01/2019 |
| Last Update Date | 02/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255896403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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