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LOS ANGELES WINGS OF FAITH
NPI 1386868685
Community/Behavioral Health in Los Angeles, CA

Active since April 11, 2007
9626 AVALON BLVD, LOS ANGELES, CA 90003(323) 833-9719(323) 779-6495 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Los Angeles Wings Of Faith NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOS ANGELES WINGS OF FAITH (NPI 1386868685) is a healthcare organization registered as a community/behavioral health in Los Angeles, California and active in the NPI registry since April 2007. The organization lists Larry C Jackson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1386868685
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameLOS ANGELES WINGS OF FAITH
Location Address9626 AVALON BLVDLos Angeles, CA 90003-4311
Mailing Address9626 Avalon BlvdLos Angeles, CA 90003-4311 · (323) 833-9719 · Fax (323) 779-6495
Phone(323) 833-9719
Fax(323) 779-6495
Organization SubpartNo
Authorized OfficialLarry C JacksonCeo · (323) 833-2719
Enumeration DateApril 11, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1386868685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
9626 AVALON BLVD, Los Angeles, CA 90003
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Los Angeles Wings Of Faith's NPI number?

The NPI number for Los Angeles Wings Of Faith is 1386868685. It was assigned to this organization in the NPPES registry on April 11, 2007.

Where is Los Angeles Wings Of Faith located?

Los Angeles Wings Of Faith is located at 9626 Avalon Blvd, Los Angeles, CA 90003. The listed phone number is (323) 833-9719.

What is Los Angeles Wings Of Faith's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Los Angeles Wings Of Faith was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.