| Share | |
|
6666 Green Valley Cir Culver City CA 90230-7068 | |
| (310) 846-5270 | |
| Not Available |
| Full Name | Share |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6666 Green Valley Cir, Culver City, California |
| Authorized Official Name and Position | John Frank Lujan (COUNSELOR - MENTAL HEALTH) |
| Authorized Official Contact | 3107824701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Share 1219 Beryl St Redondo Beach CA 90277-2438 Ph: (310) 782-4701 | Share 6666 Green Valley Cir Culver City CA 90230-7068 Ph: (310) 846-5270 |
| NPI Number | 1902182785 |
|---|---|
| Provider Enumeration Date | 10/25/2011 |
| Last Update Date | 10/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902182785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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