| Center For Healthy Aging | |
|
1527 4th St Santa Monica CA 90401-2354 | |
| (310) 576-2550 | |
| (310) 576-2554 |
| Full Name | Center For Healthy Aging |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1527 4th St, Santa Monica, California |
| Authorized Official Name and Position | Annette Colfax (VICE PRESIDENT, OPERATIONS) |
| Authorized Official Contact | 3105762550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Healthy Aging 2125 Arizona Ave Santa Monica CA 90404-1337 Ph: (310) 576-2550 | Center For Healthy Aging 1527 4th St Santa Monica CA 90401-2354 Ph: (310) 576-2550 |
| NPI Number | 1538106455 |
|---|---|
| Provider Enumeration Date | 05/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538106455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (California) | Primary |
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