| Restoring Vida Therapy Inc | |
|
1219 Lomita Blvd Ste 206 Harbor City CA 90710-2117 | |
| (657) 234-5077 | |
| Not Available |
| Full Name | Restoring Vida Therapy Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1219 Lomita Blvd Ste 206, Harbor City, California |
| Authorized Official Name and Position | Saul Salmeron (PRESIDENT) |
| Authorized Official Contact | 3105081632 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoring Vida Therapy Inc 371 W 28th St San Bernardino CA 92405-3411 Ph: () - | Restoring Vida Therapy Inc 1219 Lomita Blvd Ste 206 Harbor City CA 90710-2117 Ph: (657) 234-5077 |
| NPI Number | 1730941675 |
|---|---|
| Provider Enumeration Date | 01/26/2024 |
| Last Update Date | 01/26/2024 |
| Certification Date | 01/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730941675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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