Bethany Christian Services of Southern California
Organization Active NPI Foster Care Agency · La Mirada, CA
NPI 1619257037 · NPPES record last updated Aug 17, 2011
Key facts
- NPI
- 1619257037
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Foster Care Agency 253J00000X
- License
- 197804198 (CA)
- Legal business name
- BETHANY CHRISTIAN SERVICES OF SOUTHERN CALIFORNIA
- Practice address
- 16700 Valley View Ave
Suite # 210
La Mirada, CA 90638-5830 - Phone
- (714) 994-0500
- Fax
- (714) 994-0515
- NPI assigned
- Aug 17, 2011
- Organization subpart
- No
Authorized official
- Name
- Mr. Jeffrey Paul Carlson, MFT
- Title
- Director
- Phone
- (714) 994-0500
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Bethany Christian Services of Sounthern Ca
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foster Care Agency | 253J00000X | 197804198 | CA | Yes |
Addresses
Primary practice location
16700 Valley View Ave
Suite # 210
La Mirada, CA 90638-5830
Mailing address
16700 Valley View Ave
Suite # 210
La Mirada, CA 90638-5830
Phone (714) 994-0500
Other providers in La Mirada, CA
- Amy Bender
- Blake Wade Berman
- Caitlyn Berry
- Mari Magnolia Jasmin Besinga
- Best Ride Transportation LLC
- Bethany Christian Services of Southern California, Inc.
- Beverly Radiology Medical Group
- Shalini Bhargava
- Nimisha M Bhatt
- Hanna Chang Bin
All providers in La Mirada, CA · Foster Care Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.