| Star View Adolescent Center -op | |
|
4025 W 226th St Torrance CA 90505-2340 | |
| (310) 373-4556 | |
| (310) 373-2826 |
| Full Name | Star View Adolescent Center -op |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4025 W 226th St, Torrance, California |
| Authorized Official Name and Position | Kent Dunlap (PRESIDENT AND CHIEF EXECUTIVE OFFIC) |
| Authorized Official Contact | 3102216336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Star View Adolescent Center -op 4025 W 226th St Torrance CA 90505-2340 Ph: (310) 373-4556 | Star View Adolescent Center -op 4025 W 226th St Torrance CA 90505-2340 Ph: (310) 373-4556 |
| NPI Number | 1720181795 |
|---|---|
| Provider Enumeration Date | 09/06/2006 |
| Last Update Date | 09/21/2022 |
| Certification Date | 09/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720181795 | NPI | - | NPPES |
| 7257 | Other | CA | STATE DMH PROVIDER NUMBER |
| 2016029 | Other | CA | STATE DMH LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2016029 (California) | Primary |
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