Wings of Refuge
Wings of Refuge is an Exclusive Provider Organization in Los Angeles, California. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
4650 W Olympic BlvdLos Angeles, CA 90019-1831
Phone: (323) 900-2700
Fax: (323) 936-8455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Exclusive Provider Organization (primary) | Taxonomy 302F00000X |
|---|
Record details
| NPI number | 1124396031 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Renee Moncito — President & Ceo · (310) 670-6767 |
| Other names | Wings Of Recovery - Los Angeles High School |
| NPI enumerated | December 6, 2011 |
| Last updated in NPPES | December 6, 2011 |
| Mailing address | 5777 W Century Blvd, Suite 910, Los Angeles, CA 90045-5600 |
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