National Provider Identifier Database

MITCHLOCK FOUNDATION
Voluntary or Charitable


Contact Information

MITCHLOCK FOUNDATION
9061 S NORMANDIE AVE
LOS ANGELES, CA90044-2051
Phone: 323-251-4116
Fax:
Website:
Specialty Taxonomy Code
* Voluntary or Charitable 251V00000X
Lodging 177F00000X
Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for MITCHLOCK FOUNDATION

NPI Number 1285414573
Legal business name
LBN
MITCHLOCK FOUNDATION
Authorized official CHARLES LOCKETT - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 10/03/2023
Last updated 10/03/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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