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Contact Information

MITCHLOCK FOUNDATION
9061 S NORMANDIE AVE
LOS ANGELES, CA90044-2051
 Phone: 323-251-4116
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Voluntary or Charitable

251V00000X 61 Voluntary Health or Charitable Agency[1]
 

Lodging

177F00000X
 

Substance Abuse Disorder Rehabilitation Facility

324500000X
Indicates primary specialty

NPI Profile & details for MITCHLOCK FOUNDATION

NPI # 1285414573
LBN Legal business name MITCHLOCK FOUNDATION
Authorized official CHARLES LOCKETT - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/03/2023
Last updated 10/03/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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