Masada | |
3680 E Imperial Hwy Ste 300&320 Lynwood CA 90262-2659 | |
(310) 747-3160 | |
(310) 767-7951 |
Full Name | Masada |
---|---|
Speciality | Community/behavioral Health |
Location | 3680 E Imperial Hwy Ste 300&320, Lynwood, 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 3680 E Imperial Hwy Ste 300&320 Lynwood CA 90262-2659 Ph: (310) 747-3160 |
NPI Number | 1487147088 |
---|---|
Provider Enumeration Date | 06/08/2018 |
Last Update Date | 11/05/2024 |
Certification Date | 11/05/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487147088 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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