| Masada | |
|
12715 Pioneer Blvd Norwalk CA 90650 | |
| (310) 747-3165 | |
| (562) 282-0133 |
| Full Name | Masada |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12715 Pioneer Blvd, Norwalk, 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 12715 Pioneer Blvd Norwalk CA 90650-2873 Ph: (310) 747-3165 | Masada 12715 Pioneer Blvd Norwalk CA 90650 Ph: (310) 747-3165 |
| NPI Number | 1780177444 |
|---|---|
| Provider Enumeration Date | 06/07/2018 |
| Last Update Date | 11/05/2024 |
| Certification Date | 11/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780177444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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