Organization · Type 2 NPI

Vip Community Mental Health Center, Inc.

Mental Health Clinic/Center (Including Community Mental Health Center) · Los Angeles, CA

NPI number 1699306340 Active

Practice location

2730 Ganahl St
Los Angeles, CA 90033-2019

Call (323) 221-4134 Map

Mailing address

1721 Griffin Ave
Los Angeles, CA 90031-3312

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed

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NPI record

NPI: 1699306340
Entity type: Organization (Type 2)
Issued: Jan 31, 2020
Last updated: Jan 31, 2020
Status: Active
Subpart: Yes of Vip Community Mental Health Center, Inc.

Other names

Vip Evergreen Elementary School · other name

Authorized official

Dustin Schiada
Clinical Director
(323) 221-4134

Verify this record

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 1699306340

Vip Community Mental Health Center, Inc.'s National Provider Identifier is 1699306340, issued on Jan 31, 2020. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Los Angeles, CA. The record was last updated on Jan 31, 2020.