Ccmet | |
4040 Duquesne Ave Culver City CA 90232-2804 | |
(310) 253-6332 | |
(310) 253-6117 |
Full Name | Ccmet |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 4040 Duquesne Ave, Culver City, California |
Authorized Official Name and Position | Lisa H. Wong (ACTING DIRECTOR) |
Authorized Official Contact | 2137384601 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ccmet 510 S Vermont Ave Los Angeles CA 90020-1992 Ph: (213) 738-4601 | Ccmet 4040 Duquesne Ave Culver City CA 90232-2804 Ph: (310) 253-6332 |
NPI Number | 1639623267 |
---|---|
Provider Enumeration Date | 08/11/2016 |
Last Update Date | 08/30/2022 |
Certification Date | 08/30/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639623267 | NPI | - | NPPES |
7984 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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