| Exodus Harbor-ucla Ctt | |
|
1000 W Carson St Rm 2022 Bldg 2 South Torrance CA 90502-2004 | |
| (424) 405-5899 | |
| Not Available |
| Full Name | Exodus Harbor-ucla Ctt |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1000 W Carson St Rm 2022, Torrance, California |
| Authorized Official Name and Position | Leeann Skorohod (COO) |
| Authorized Official Contact | 3109453350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Exodus Harbor-ucla Ctt 9808 Venice Blvd Ste 700 Culver City CA 90232-6824 Ph: (310) 945-3350 | Exodus Harbor-ucla Ctt 1000 W Carson St Rm 2022 Bldg 2 South Torrance CA 90502-2004 Ph: (424) 405-5899 |
| NPI Number | 1104307164 |
|---|---|
| Provider Enumeration Date | 08/27/2018 |
| Last Update Date | 08/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104307164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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