Del Aire Community Development Center | |
2043 W 115th St Hawthorne CA 90250-1900 | |
(310) 612-3778 | |
(310) 676-1170 |
Full Name | Del Aire Community Development Center |
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Speciality | Community/behavioral Health |
Location | 2043 W 115th St, Hawthorne, California |
Authorized Official Name and Position | John Jefferson (CEO) |
Authorized Official Contact | 3106123778 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Del Aire Community Development Center 2043 W 115th St Hawthorne CA 90250-1900 Ph: (310) 612-3778 | Del Aire Community Development Center 2043 W 115th St Hawthorne CA 90250-1900 Ph: (310) 612-3778 |
NPI Number | 1063134146 |
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Provider Enumeration Date | 09/14/2022 |
Last Update Date | 10/18/2022 |
Certification Date | 10/18/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063134146 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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