Provider Demographics
NPI:1477071660
Name:EAST LOS ANGELES WOMENS CENTER
Entity Type:Organization
Organization Name:EAST LOS ANGELES WOMENS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAPPOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-526-5819
Mailing Address - Street 1:1431 S ATLANTIC BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90022-5015
Mailing Address - Country:US
Mailing Address - Phone:323-526-5819
Mailing Address - Fax:323-526-5822
Practice Address - Street 1:1431 S. ATLANTIC BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90022
Practice Address - Country:US
Practice Address - Phone:323-526-5819
Practice Address - Fax:323-526-5822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty