Provider Demographics
NPI:1336894922
Name:SENIOR CARE NAVIGATOR LA INC.
Entity Type:Organization
Organization Name:SENIOR CARE NAVIGATOR LA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CARE MANAGER AND COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:GRACE
Authorized Official - Last Name:MALLOY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:310-362-8232
Mailing Address - Street 1:8950 W OLYMPIC BLVD STE 255
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-3565
Mailing Address - Country:US
Mailing Address - Phone:310-362-8232
Mailing Address - Fax:310-388-3959
Practice Address - Street 1:591 N BEACHWOOD DR
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90004-1416
Practice Address - Country:US
Practice Address - Phone:310-362-8232
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-13
Last Update Date:2022-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty