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 |
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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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