| Emq Hollygrove | |
|
815 N El Centro Ave Los Angeles CA 90038-3805 | |
| (323) 463-2119 | |
| (323) 463-0619 |
| Full Name | Emq Hollygrove |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 815 N El Centro Ave, Los Angeles, California |
| Authorized Official Name and Position | Shawn Caracoza (DIRECTOR) |
| Authorized Official Contact | 3234632119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emq Hollygrove 815 N El Centro Ave Los Angeles CA 90038-3805 Ph: (323) 463-2119 | Emq Hollygrove 815 N El Centro Ave Los Angeles CA 90038-3805 Ph: (323) 463-2119 |
| NPI Number | 1003003542 |
|---|---|
| Provider Enumeration Date | 09/28/2007 |
| Last Update Date | 02/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003003542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
News Archive
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› Verified 4 days ago
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