| Exodus Central Fsp | |
|
3737 Martin Luther King Jr Blvd Ste 515 Lynwood CA 90262-3517 | |
| (310) 733-7981 | |
| Not Available |
| Full Name | Exodus Central Fsp |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3737 Martin Luther King Jr Blvd Ste 515, 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 Central Fsp 9808 Venice Blvd Ste 700 Culver City CA 90232-6824 Ph: (310) 945-3350 | Exodus Central Fsp 3737 Martin Luther King Jr Blvd Ste 515 Lynwood CA 90262-3517 Ph: (310) 733-7981 |
| NPI Number | 1437704806 |
|---|---|
| Provider Enumeration Date | 08/02/2019 |
| Last Update Date | 09/07/2023 |
| Certification Date | 09/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437704806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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