Coastal Api Family Mhc | |
14112 S Kingsley Dr Gardena CA 90249-3018 | |
(310) 217-7312 | |
(310) 352-3111 |
Full Name | Coastal Api Family Mhc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 14112 S Kingsley Dr, Gardena, 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 |
---|---|
Coastal Api Family Mhc 510 S Vermont Ave Los Angeles CA 90020-1992 Ph: (213) 738-4601 | Coastal Api Family Mhc 14112 S Kingsley Dr Gardena CA 90249-3018 Ph: (310) 217-7312 |
NPI Number | 1376576900 |
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Provider Enumeration Date | 07/08/2006 |
Last Update Date | 07/07/2022 |
Certification Date | 07/07/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376576900 | NPI | - | NPPES |
7064 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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