Provider Demographics
NPI:1801372487
Name:DANGERFIELD INSTITUTE
Entity Type:Organization
Organization Name:DANGERFIELD INSTITUTE
Other - Org Name:DANGERFIELD #3
Other - Org Type:Other Name
Authorized Official - Title/Position:ASSISTANT EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:IRVING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-290-5058
Mailing Address - Street 1:2306 W 73RD ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90043-5342
Mailing Address - Country:US
Mailing Address - Phone:323-752-5030
Mailing Address - Fax:323-299-7760
Practice Address - Street 1:2306 W 73RD ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90043-5342
Practice Address - Country:US
Practice Address - Phone:323-752-5030
Practice Address - Fax:323-299-7160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-17
Last Update Date:2020-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency