Provider Demographics
NPI:1699975128
Name:AMI/ABLE
Entity type:Organization
Organization Name:AMI/ABLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASST. MENTAL HEALTH COUNSELOR,RN
Authorized Official - Prefix:
Authorized Official - First Name:DEVIN
Authorized Official - Middle Name:S
Authorized Official - Last Name:LOI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:310-222-1648
Mailing Address - Street 1:1000 W CARSON ST
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90502-2004
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1000 W CARSON ST
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90502-2004
Practice Address - Country:US
Practice Address - Phone:310-222-1648
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-23
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA563577283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital