| Ghmet | |
|
12501 S. Hawthorne Blvd Hawthorne CA 90250-4404 | |
| (310) 349-2725 | |
| (310) 978-9808 |
| Full Name | Ghmet |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 12501 S. Hawthorne Blvd, Hawthorne, California |
| Authorized Official Name and Position | Lisa H. Wong (ACTING DIRECTOR) |
| Authorized Official Contact | 2137384601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ghmet 510 S Vermont Ave Los Angeles CA 90020-1992 Ph: (213) 738-4601 | Ghmet 12501 S. Hawthorne Blvd Hawthorne CA 90250-4404 Ph: (310) 349-2725 |
| NPI Number | 1124578976 |
|---|---|
| Provider Enumeration Date | 10/05/2016 |
| Last Update Date | 08/30/2022 |
| Certification Date | 08/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124578976 | NPI | - | NPPES |
| 7988 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (California) | Primary |
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