|
| |
|
1225 W 190th St Ste 470 Gardena CA 90248-4305 | |
| (310) 515-8113 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1225 W 190th St Ste 470, Gardena, California |
| Authorized Official Name and Position | Ehab S Yacoub (CEO) |
| Authorized Official Contact | 8775158113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
14541 Delano St Van Nuys CA 91411-2820 Ph: (877) 515-8113 | 1225 W 190th St Ste 470 Gardena CA 90248-4305 Ph: (310) 515-8113 |
| NPI Number | 1437539509 |
|---|---|
| Provider Enumeration Date | 06/04/2015 |
| Last Update Date | 02/13/2024 |
| Certification Date | 02/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437539509 | NPI | - | NPPES |
Sunshine Community Resource Organization Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1202 W 135th Street, Gardena, CA 90247 Phone: 626-600-9392 | |
City2village International Initiative Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 18726 S Western Ave Ste 403, Gardena, CA 90248 Phone: 310-769-5710 Fax: 844-850-5892 | |
Mendrix Medical Associates Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 18726 S Western Ave Ste 320, Gardena, CA 90248 Phone: 310-773-8975 Fax: 702-977-1496 | |