| Dmh @ Harbor-ucla Medical Center | |
|
1000 West Carson Street, Box 498 Torrance CA 90509 | |
| (310) 222-3151 | |
| (310) 328-7217 |
| Full Name | Dmh @ Harbor-ucla Medical Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1000 West Carson Street, Box 498, Torrance, 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 |
|---|---|
| Dmh @ Harbor-ucla Medical Center 510 S Vermont Ave Los Angeles CA 90020-1992 Ph: (213) 738-4601 | Dmh @ Harbor-ucla Medical Center 1000 West Carson Street, Box 498 Torrance CA 90509 Ph: (310) 222-3151 |
| NPI Number | 1447283072 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 07/07/2022 |
| Certification Date | 07/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447283072 | NPI | - | NPPES |
| 6859 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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Kevin Stephanoff, M.d., Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 23700 Camino Del Sol, Torrance, CA 90505 Phone: 310-308-9014 | |
Addis Medical Group A Medical Corporation Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 23700 Camino Del Sol, Torrance, CA 90505 Phone: 310-530-1151 Fax: 310-626-9390 | |
Los Angeles County Department Of Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 21810 Normandie Ave, 1st Fl, Torrance, CA 90502 Phone: 424-346-5700 Fax: 310-363-8485 | |
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