| 1404 Family Center | |
|
24050 Madison St Ste 200 Torrance CA 90505-6016 | |
| (310) 291-9997 | |
| Not Available |
| Full Name | 1404 Family Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 24050 Madison St Ste 200, Torrance, California |
| Authorized Official Name and Position | Cynthia Soria (OWNER) |
| Authorized Official Contact | 3102919997 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 1404 Family Center 508 S Pacific Coast Hwy Redondo Beach CA 90277-4219 Ph: (310) 291-9997 | 1404 Family Center 24050 Madison St Ste 200 Torrance CA 90505-6016 Ph: (310) 291-9997 |
| NPI Number | 1639606221 |
|---|---|
| Provider Enumeration Date | 05/15/2017 |
| Last Update Date | 05/15/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639606221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LCSW70063 (California) | Primary |
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