Provider Demographics
NPI:1154573335
Name:BIENVENIDOS CHILDREN'S CENTER, INC.
Entity type:Organization
Organization Name:BIENVENIDOS CHILDREN'S CENTER, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RITCHIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:GEISEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-785-5906
Mailing Address - Street 1:316 W 2ND ST
Mailing Address - Street 2:8TH FLOOR
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90012-3504
Mailing Address - Country:US
Mailing Address - Phone:213-785-5906
Mailing Address - Fax:213-785-5928
Practice Address - Street 1:507 S ATLANTIC BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90022-2621
Practice Address - Country:US
Practice Address - Phone:323-268-9191
Practice Address - Fax:323-268-9119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA190285AN261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder