The Treasure Grid | |
503 Union Dr Apt 310 Los Angeles CA 90017-1841 | |
(213) 568-3509 | |
Not Available |
Full Name | The Treasure Grid |
---|---|
Speciality | Counselor |
Location | 503 Union Dr Apt 310, Los Angeles, California |
Authorized Official Name and Position | Kerry Bryant Lewis (CEO) |
Authorized Official Contact | 3239556253 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
The Treasure Grid 725 S Alvarado St Apt 301 Los Angeles CA 90057-4313 Ph: (323) 635-0173 | The Treasure Grid 503 Union Dr Apt 310 Los Angeles CA 90017-1841 Ph: (213) 568-3509 |
NPI Number | 1720659709 |
---|---|
Provider Enumeration Date | 07/09/2021 |
Last Update Date | 08/05/2024 |
Certification Date | 08/05/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720659709 | NPI | - | NPPES |
95444626G80154 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Secondary |
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