OrganizationActive
Aviva Center
NPI 1679917637 · Emotionally Disturbed Childrens' Residential Treatment Facility · Los Angeles, CA
Provider details
- NPI number
- 1679917637
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Dinora Mena, License Vocational Nurse
- License
- VN 266328 (CA)
Practice location
1701 Camino Palmero St
Los Angeles, CA 90046-2902
Phone: (323) 876-0550
Mailing address
1701 Camino Palmero St
Los Angeles, CA 90046-2902
Registry dates
- Enumerated
- 2013-04-22
- Last updated
- 2013-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.