| Imet | |
|
1 W Manchester Blvd Inglewood CA 90301-1764 | |
| (310) 412-5633 | |
| (310) 412-8798 |
| Full Name | Imet |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1 W Manchester Blvd, Inglewood, 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 |
|---|---|
| Imet 510 S Vermont Ave Los Angeles CA 90020-1992 Ph: (213) 738-4601 | Imet 1 W Manchester Blvd Inglewood CA 90301-1764 Ph: (310) 412-5633 |
| NPI Number | 1033632468 |
|---|---|
| Provider Enumeration Date | 07/18/2017 |
| Last Update Date | 09/06/2022 |
| Certification Date | 09/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033632468 | NPI | - | NPPES |
| 1945 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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