Provider Demographics
NPI:1568603462
Name:CRENSHAW AREA OFFICE
Entity Type:Organization
Organization Name:CRENSHAW AREA OFFICE
Other - Org Name:LA CO PROBATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROBATION OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:JONES
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:323-298-3522
Mailing Address - Street 1:3606 EXPOSITION BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90016-4822
Mailing Address - Country:US
Mailing Address - Phone:323-298-3501
Mailing Address - Fax:323-296-3049
Practice Address - Street 1:9150 IMPERIAL HWY RM P-31
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90242-2835
Practice Address - Country:US
Practice Address - Phone:562-940-3694
Practice Address - Fax:562-658-7425
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LA CO PROBATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-03-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA171M00000XOther'17'