| Momentum Iop, Llc | |
|
3101 Washington Blvd Ste B Marina Del Rey CA 90292-5577 | |
| (310) 741-7199 | |
| Not Available |
| Full Name | Momentum Iop, Llc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 3101 Washington Blvd Ste B, Marina Del Rey, California |
| Authorized Official Name and Position | Katarina Svensson (OWNER) |
| Authorized Official Contact | 3107417199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Momentum Iop, Llc 3101 Washington Blvd Ste B Marina Del Rey CA 90292-5577 Ph: (310) 741-7199 | Momentum Iop, Llc 3101 Washington Blvd Ste B Marina Del Rey CA 90292-5577 Ph: (310) 741-7199 |
| NPI Number | 1417567884 |
|---|---|
| Provider Enumeration Date | 07/31/2020 |
| Last Update Date | 07/31/2020 |
| Certification Date | 07/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417567884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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