| Sponderworks Childrens Services | |
|
1520 S Western Ave San Pedro CA 90732-3602 | |
| (310) 521-0112 | |
| (310) 831-7291 |
| Full Name | Sponderworks Childrens Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1520 S Western Ave, San Pedro, California |
| Authorized Official Name and Position | David Spnder (C.E.O.) |
| Authorized Official Contact | 3105210112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sponderworks Childrens Services 1536 W 25th St Ste 172 San Pedro CA 90732-4415 Ph: (310) 521-0112 | Sponderworks Childrens Services 1520 S Western Ave San Pedro CA 90732-3602 Ph: (310) 521-0112 |
| NPI Number | 1366790537 |
|---|---|
| Provider Enumeration Date | 08/20/2012 |
| Last Update Date | 08/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366790537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2348 (California) | Primary |
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