Wings Of Recovery - Los Angeles High School

LBN: Wings Of Refuge
Wings Of Recovery - Los Angeles High School is an health care organization with primary practice located at 4650 W Olympic Blvd , Los Angeles CA 90019-1831. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Wings Of Refuge can be contacted via phone (323) 900-2700, or through Moncito, Renee G via phone (310) 670-6767.

Contact Information

Primary practice address
4650 W Olympic Blvd Los Angeles CA 90019-1831
Phone: (323) 900-2700
Fax: (323) 936-8455
Website:
Map and Directions
Authorized official contact:
Name: Moncito, Renee G
Phone: (310) 670-6767

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X

Profile Details

NPI number 1124396031
LBN Legal business name Wings Of Refuge
DBA Doing business as Wings Of Recovery - Los Angeles High School
Authorized official Moncito, Renee G
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2011
Last updated Dec 6th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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