| C-conrad Group Limited | |
|
350 East Avenue K-4 Lancaster CA 93535 | |
| (310) 410-0278 | |
| Not Available |
| Full Name | C-conrad Group Limited |
|---|---|
| Speciality | Early Intervention Provider Agency |
| Location | 350 East Avenue K-4, Lancaster, California |
| Authorized Official Name and Position | Cynthia Marshall (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3104100278 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| C-conrad Group Limited 8929 S Sepulveda Blvd Suite 410 Los Angeles CA 90045-3616 Ph: (310) 410-0278 | C-conrad Group Limited 350 East Avenue K-4 Lancaster CA 93535 Ph: (310) 410-0278 |
| NPI Number | 1720212483 |
|---|---|
| Provider Enumeration Date | 05/11/2009 |
| Last Update Date | 05/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720212483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Primary |
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