Central Star Rancho Los Amigos Crtp | |
7745 Leeds St Downey CA 90242-3489 | |
(310) 221-6336 | |
Not Available |
Full Name | Central Star Rancho Los Amigos Crtp |
---|---|
Speciality | Community/behavioral Health |
Location | 7745 Leeds St, Downey, California |
Authorized Official Name and Position | Kent Dunlap (PRESIDENT AND CHIEF EXECUTIVE OFFIC) |
Authorized Official Contact | 3102216336 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Central Star Rancho Los Amigos Crtp 1501 Hughes Way Ste 150 Long Beach CA 90810-1878 Ph: (310) 221-6336 | Central Star Rancho Los Amigos Crtp 7745 Leeds St Downey CA 90242-3489 Ph: (310) 221-6336 |
NPI Number | 1134875743 |
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Provider Enumeration Date | 02/23/2022 |
Last Update Date | 03/24/2022 |
Certification Date | 03/24/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134875743 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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