Provider Demographics
NPI:1629729603
Name:LOVED ONES VICTIMS SERVICES
Entity Type:Organization
Organization Name:LOVED ONES VICTIMS SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHANTEL
Authorized Official - Middle Name:
Authorized Official - Last Name:AKERELE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-337-7006
Mailing Address - Street 1:PO BOX 451816
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-8522
Mailing Address - Country:US
Mailing Address - Phone:310-337-7006
Mailing Address - Fax:310-337-7060
Practice Address - Street 1:5701 W SLAUSON AVE STE 116
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90230-3416
Practice Address - Country:US
Practice Address - Phone:310-337-7006
Practice Address - Fax:310-337-7060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-12
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)