Sunshine Community Resource Organization Center | |
1202 W 135th Street Gardena CA 90247 | |
(626) 600-9392 | |
Not Available |
Full Name | Sunshine Community Resource Organization Center |
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Speciality | Counselor |
Location | 1202 W 135th Street, Gardena, California |
Authorized Official Name and Position | Latoshia Gaynelle Jackson (CEO) |
Authorized Official Contact | 6266009392 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sunshine Community Resource Organization Center 12016 Belhaven Ave Los Angeles CA 90059 Ph: (626) 600-9392 | Sunshine Community Resource Organization Center 1202 W 135th Street Gardena CA 90247 Ph: (626) 600-9392 |
NPI Number | 1013404243 |
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Provider Enumeration Date | 04/13/2018 |
Last Update Date | 09/27/2018 |
Identifier | Type | State | Issuer |
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1013404243 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (California) | Primary |
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