Casa Ladera | |
601 Grace Ave Inglewood CA 90301-1306 | |
(310) 910-0230 | |
(484) 227-8419 |
Full Name | Casa Ladera |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 601 Grace Ave, Inglewood, California |
Authorized Official Name and Position | Paul Radke (TREASURER) |
Authorized Official Contact | 3106410870 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Casa Ladera 601 Grace Ave Inglewood CA 90301-1306 Ph: (310) 910-0230 | Casa Ladera 601 Grace Ave Inglewood CA 90301-1306 Ph: (310) 910-0230 |
NPI Number | 1285127183 |
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Provider Enumeration Date | 06/14/2018 |
Last Update Date | 03/19/2020 |
Certification Date | 03/19/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285127183 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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