| Personal Involvement Center, Inc. | |
|
24404 South Vermont Ave Suite 200 Harbor City CA 90710-2321 | |
| (866) 508-0311 | |
| (323) 778-0485 |
| Full Name | Personal Involvement Center, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 24404 South Vermont Ave, Harbor City, California |
| Authorized Official Name and Position | Maxine Diggs (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8665080311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Personal Involvement Center, Inc. Po Box 514839 Los Angeles CA 90051-2839 Ph: (866) 508-0311 | Personal Involvement Center, Inc. 24404 South Vermont Ave Suite 200 Harbor City CA 90710-2321 Ph: (866) 508-0311 |
| NPI Number | 1649664491 |
|---|---|
| Provider Enumeration Date | 03/18/2015 |
| Last Update Date | 11/30/2021 |
| Certification Date | 11/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649664491 | NPI | - | NPPES |
| 7542A | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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