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555 W Redondo Beach Blvd Gardena CA 90248-1612 | |
| (310) 831-0331 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 555 W Redondo Beach Blvd, Gardena, California |
| Authorized Official Name and Position | Dario L Ghio (CEO/PRESIDENT) |
| Authorized Official Contact | 3108310331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
599 W 9th St San Pedro CA 90731-3105 Ph: () - | 555 W Redondo Beach Blvd Gardena CA 90248-1612 Ph: (310) 831-0331 |
| NPI Number | 1912270885 |
|---|---|
| Provider Enumeration Date | 02/22/2012 |
| Last Update Date | 02/22/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912270885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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