Provider Demographics
NPI:1356621023
Name:L.A. COUNTY-CHILDHOOD LEAD POISONING PREVENTION PROGRAM
Entity type:Organization
Organization Name:L.A. COUNTY-CHILDHOOD LEAD POISONING PREVENTION PROGRAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EHS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:REHS
Authorized Official - Phone:323-869-7061
Mailing Address - Street 1:5555 FERGUSON DR
Mailing Address - Street 2:ROOM 210-02
Mailing Address - City:COMMERCE
Mailing Address - State:CA
Mailing Address - Zip Code:90022-5164
Mailing Address - Country:US
Mailing Address - Phone:323-869-7068
Mailing Address - Fax:323-890-8737
Practice Address - Street 1:5555 FERGUSON DR
Practice Address - Street 2:ROOM 210-02
Practice Address - City:COMMERCE
Practice Address - State:CA
Practice Address - Zip Code:90022-5164
Practice Address - Country:US
Practice Address - Phone:323-869-7068
Practice Address - Fax:323-890-8737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-25
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAREHS#4810, I&S-9019251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare