| Exodus Hssp | |
|
3737 Martin Luther King Jr Blvd Ste 550 Lynwood CA 90262-3536 | |
| (310) 341-1568 | |
| (323) 909-1796 |
| Full Name | Exodus Hssp |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3737 Martin Luther King Jr Blvd Ste 550, Lynwood, California |
| Authorized Official Name and Position | Leeann Skorohod (CFO) |
| Authorized Official Contact | 3109453350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Exodus Hssp 9808 Venice Blvd Ste 700 Culver City CA 90232-6824 Ph: (310) 945-3350 | Exodus Hssp 3737 Martin Luther King Jr Blvd Ste 550 Lynwood CA 90262-3536 Ph: (310) 341-1568 |
| NPI Number | 1174300412 |
|---|---|
| Provider Enumeration Date | 09/11/2023 |
| Last Update Date | 09/11/2023 |
| Certification Date | 09/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174300412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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