| South Bay Bright Future, Inc. | |
|
2909 S Pacific Ave San Pedro CA 90731-6634 | |
| (310) 891-0096 | |
| (310) 891-0195 |
| Full Name | South Bay Bright Future, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2909 S Pacific Ave, San Pedro, California |
| Authorized Official Name and Position | Laneta Joyce Hill (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3108910096 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Bay Bright Future, Inc. 24404 Vermont Ave Suite 201 Harbor City CA 90710-2313 Ph: (310) 891-0096 | South Bay Bright Future, Inc. 2909 S Pacific Ave San Pedro CA 90731-6634 Ph: (310) 891-0096 |
| NPI Number | 1548705171 |
|---|---|
| Provider Enumeration Date | 01/06/2017 |
| Last Update Date | 02/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548705171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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