| Masada Homes | |
|
11701 Alameda St Lynwood CA 90262-4023 | |
| (323) 357-5260 | |
| Not Available |
| Full Name | Masada Homes |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11701 Alameda St, Lynwood, California |
| Authorized Official Name and Position | George K. Igi (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3107152020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Masada Homes 108 W Victoria St Gardena CA 90248-3523 Ph: (310) 715-2020 | Masada Homes 11701 Alameda St Lynwood CA 90262-4023 Ph: (323) 357-5260 |
| NPI Number | 1285897876 |
|---|---|
| Provider Enumeration Date | 07/03/2008 |
| Last Update Date | 07/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285897876 | NPI | - | NPPES |
| 7160 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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