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1230 Rosecrans Ave Ste 300 Manhattan Beach CA 90266-2494 | |
| (888) 361-2660 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Health Service |
| Location | 1230 Rosecrans Ave Ste 300, Manhattan Beach, California |
| Authorized Official Name and Position | Krystal Watkins (VICE PRESIDENT) |
| Authorized Official Contact | 3107676354 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1230 Rosecrans Ave Ste 300 Pmb #792 Manhattan Beach CA 90266-2494 Ph: (888) 361-2660 | 1230 Rosecrans Ave Ste 300 Manhattan Beach CA 90266-2494 Ph: (888) 361-2660 |
| NPI Number | 1578230892 |
|---|---|
| Provider Enumeration Date | 08/25/2021 |
| Last Update Date | 08/03/2022 |
| Certification Date | 08/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578230892 | NPI | - | NPPES |
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