Wings of Refuge
NPI #1124396031 in Los Angeles, California
Provider Information
- NPI Number
- 1124396031
- Entity Type
- Organization
- Organization Name
- Wings of Refuge
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Dec 6, 2011
- Last Updated
- Dec 6, 2011
Practice Location
- Address
- 4650 W OLYMPIC BLVD
- City
- Los Angeles
- State
- California
- ZIP Code
- 90019-1831
- Phone
- (323) 900-2700
Authorized Official
- Name
- RENEE G MONCITO
- Title
- PRESIDENT & CEO
- Phone
- (310) 670-6767
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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