| Maymuna 13 Corporation | |
|
11045 Ruthelen St Los Angeles CA 90047-4720 | |
| (323) 282-1745 | |
| Not Available |
| Full Name | Maymuna 13 Corporation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11045 Ruthelen St, Los Angeles, California |
| Authorized Official Name and Position | Rosslynn Shelena Mitchell (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3232821745 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maymuna 13 Corporation 11045 Ruthelen St Los Angeles CA 90047-4720 Ph: (323) 282-1745 | Maymuna 13 Corporation 11045 Ruthelen St Los Angeles CA 90047-4720 Ph: (323) 282-1745 |
| NPI Number | 1700675048 |
|---|---|
| Provider Enumeration Date | 05/02/2025 |
| Last Update Date | 05/02/2025 |
| Certification Date | 05/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700675048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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