| Valley Star Rancho Los Amigos Crtp | |
|
7735 Leeds St Downey CA 90242-3489 | |
| (310) 221-6336 | |
| Not Available |
| Full Name | Valley Star Rancho Los Amigos Crtp |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7735 Leeds St, Downey, 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 |
|---|---|
| Valley Star Rancho Los Amigos Crtp 1501 Hughes Way Ste 150 Long Beach CA 90810-1878 Ph: (310) 221-6336 | Valley Star Rancho Los Amigos Crtp 7735 Leeds St Downey CA 90242-3489 Ph: (310) 221-6336 |
| NPI Number | 1396491973 |
|---|---|
| Provider Enumeration Date | 02/23/2022 |
| Last Update Date | 03/24/2022 |
| Certification Date | 03/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396491973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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