Southern California Drug Diversion | |
2370 W Carson St 235 Torrance CA 90501-3100 | |
(310) 951-2748 | |
Not Available |
Full Name | Southern California Drug Diversion |
---|---|
Speciality | Community/behavioral Health |
Location | 2370 W Carson St, Torrance, California |
Authorized Official Name and Position | Samantha Lyttle (CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 3109512748 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Southern California Drug Diversion 2370 W Carson St 235 Torrance CA 90501-3100 Ph: (310) 951-2748 | Southern California Drug Diversion 2370 W Carson St 235 Torrance CA 90501-3100 Ph: (310) 951-2748 |
NPI Number | 1992101778 |
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Provider Enumeration Date | 11/06/2014 |
Last Update Date | 11/06/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992101778 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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