Organization · Type 2 NPI

Medi Cure Health Services, Inc

Community/Behavioral Health Agency · Los Angeles, CA

NPI number 1497005524 Active

Practice location

3516 N Broadway
Los Angeles, CA 90031-2833

Call (323) 295-1136 Map

Fax (323) 295-1071

Mailing address

3756 Santa Rosalia Dr Ste 417
Los Angeles, CA 90008-3614

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	190636AN (CA)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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NPI record

NPI: 1497005524
Entity type: Organization (Type 2)
Issued: Sep 17, 2012
Last updated: Sep 17, 2012
Status: Active
Subpart: Yes of Medi Cure Health Services, Inc.

Other names

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Public Health Foundation Enterprises, Inc. (aztecs Rising) · doing business as

Authorized official

Dr. Josephine C. Kannike-Martins, PHD., RD
CEO/executive Director
(323) 295-1136

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1497005524

Medi Cure Health Services, Inc's National Provider Identifier is 1497005524, issued on Sep 17, 2012. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 17, 2012.