Provider Demographics
NPI:1992969802
Name:YOU CAN HEALTH SERVICES
Entity type:Organization
Organization Name:YOU CAN HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:NEH
Authorized Official - Last Name:NDISANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-349-9778
Mailing Address - Street 1:600 W MANCHESTER AVE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90044-5700
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:600 W MANCHESTER AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90044-5700
Practice Address - Country:US
Practice Address - Phone:323-839-7302
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-10
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health