| My Life Redefined, Inc. | |
|
1711 Via El Prado Ste 202 Redondo Beach CA 90277-5721 | |
| (949) 706-4248 | |
| Not Available |
| Full Name | My Life Redefined, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1711 Via El Prado Ste 202, Redondo Beach, California |
| Authorized Official Name and Position | Kenneth Ribotsky (OWNER/CEO) |
| Authorized Official Contact | 9497064248 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Life Redefined, Inc. 318 Avenue I # 455 Redondo Beach CA 90277-5601 Ph: (949) 706-4248 | My Life Redefined, Inc. 1711 Via El Prado Ste 202 Redondo Beach CA 90277-5721 Ph: (949) 706-4248 |
| NPI Number | 1801675293 |
|---|---|
| Provider Enumeration Date | 09/25/2023 |
| Last Update Date | 09/25/2023 |
| Certification Date | 09/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801675293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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