| Eotd Crisis And Homeless-long Beach | |
|
24330 Narbonne Ave Suite 2 Lomita CA 90717-1131 | |
| (310) 534-1083 | |
| (310) 257-0216 |
| Full Name | Eotd Crisis And Homeless-long Beach |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 24330 Narbonne Ave, Lomita, California |
| Authorized Official Name and Position | Lisa H. Wong (DIRECTOR) |
| Authorized Official Contact | 2139476670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eotd Crisis And Homeless-long Beach 510 S Vermont Ave Los Angeles CA 90020-1992 Ph: (213) 738-4601 | Eotd Crisis And Homeless-long Beach 24330 Narbonne Ave Suite 2 Lomita CA 90717-1131 Ph: (310) 534-1083 |
| NPI Number | 1902061658 |
|---|---|
| Provider Enumeration Date | 07/22/2008 |
| Last Update Date | 10/18/2023 |
| Certification Date | 10/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902061658 | NPI | - | NPPES |
| 7740 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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