Provider Demographics
NPI:1891062196
Name:BIENVENIDOS EAST LOS ANGELES
Entity Type:Organization
Organization Name:BIENVENIDOS EAST LOS ANGELES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF MENTAL HEALTH
Authorized Official - Prefix:
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARSOT
Authorized Official - Suffix:
Authorized Official - Credentials:MFC 42481
Authorized Official - Phone:626-696-1270
Mailing Address - Street 1:255 N. SAN GABRIEL BLVD.
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107
Mailing Address - Country:US
Mailing Address - Phone:626-696-1270
Mailing Address - Fax:
Practice Address - Street 1:4360 DOZIER AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90022-1404
Practice Address - Country:US
Practice Address - Phone:626-696-1270
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-30
Last Update Date:2014-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health