| Harbor-ucla K.i.d.s. Hub | |
|
1000 W Carson St., Professional Building Torrance CA 90502-2004 | |
| (424) 306-7270 | |
| (310) 320-7849 |
| Full Name | Harbor-ucla K.i.d.s. Hub |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1000 W Carson St., Professional Building, Torrance, 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 |
|---|---|
| Harbor-ucla K.i.d.s. Hub 510 S Vermont Ave Los Angeles CA 90020-1992 Ph: (213) 738-4601 | Harbor-ucla K.i.d.s. Hub 1000 W Carson St., Professional Building Torrance CA 90502-2004 Ph: (424) 306-7270 |
| NPI Number | 1669823639 |
|---|---|
| Provider Enumeration Date | 06/30/2016 |
| Last Update Date | 09/15/2022 |
| Certification Date | 09/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669823639 | NPI | - | NPPES |
| 7979 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (California) | Primary |
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