Tetrawave | |
10031 Haskell Ave North Hills CA 91343-1505 | |
(562) 208-7216 | |
Not Available |
Full Name | Tetrawave |
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Speciality | Social Worker - Clinical |
Location | 10031 Haskell Ave, North Hills, California |
Authorized Official Name and Position | Christian Castaneda (COO) |
Authorized Official Contact | 5622077216 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tetrawave 30 N Gould St # 44162 Sheridan WY 82801-6317 Ph: (562) 208-7216 | Tetrawave 10031 Haskell Ave North Hills CA 91343-1505 Ph: (562) 208-7216 |
NPI Number | 1629892849 |
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Provider Enumeration Date | 11/13/2024 |
Last Update Date | 11/13/2024 |
Certification Date | 11/13/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629892849 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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