| His Gifts Inc | |
|
12204 South San Pedro Street Los Angeles, Ca 90061 10910 Long Beach Blvd Suite 103 Lynwood CA 90262 | |
| (310) 420-3512 | |
| Not Available |
| Full Name | His Gifts Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12204 South San Pedro Street Los Angeles, Ca 90061, Lynwood, California |
| Authorized Official Name and Position | Donna Martreice Ferguson (DIRECTOR) |
| Authorized Official Contact | 3104203512 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| His Gifts Inc 12204 South San Pedro Street Los Angeles, Ca 90061 10910 Long Beach Blvd Ste 103 Lynwood CA 90262 Ph: (310) 420-3512 | His Gifts Inc 12204 South San Pedro Street Los Angeles, Ca 90061 10910 Long Beach Blvd Suite 103 Lynwood CA 90262 Ph: (310) 420-3512 |
| NPI Number | 1578990644 |
|---|---|
| Provider Enumeration Date | 10/03/2013 |
| Last Update Date | 10/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578990644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LCS14553 (California) | Primary |
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