| Masada | |
|
21409 Elaine Ave Hawaiian Gardens CA 90716-1025 | |
| (562) 215-1820 | |
| Not Available |
| Full Name | Masada |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 21409 Elaine Ave, Hawaiian Gardens, California |
| Authorized Official Name and Position | Patricia Tindbaek (EXECUTIVE ADMINISTRATOR) |
| Authorized Official Contact | 3107152020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Masada 108 W Victoria St Gardena CA 90248-3523 Ph: (310) 715-2020 | Masada 21409 Elaine Ave Hawaiian Gardens CA 90716-1025 Ph: (562) 215-1820 |
| NPI Number | 1467796698 |
|---|---|
| Provider Enumeration Date | 11/09/2012 |
| Last Update Date | 11/05/2024 |
| Certification Date | 11/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467796698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 7432 (California) | Primary |
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