| Vida Wholeness Family Therapy Corp | |
|
1875 W Redondo Beach Blvd Ste 303 Gardena CA 90247-3644 | |
| (424) 262-2099 | |
| Not Available |
| Full Name | Vida Wholeness Family Therapy Corp |
|---|---|
| Speciality | Social Worker |
| Location | 1875 W Redondo Beach Blvd Ste 303, Gardena, California |
| Authorized Official Name and Position | Maribel Guerra (CEO) |
| Authorized Official Contact | 4242622099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vida Wholeness Family Therapy Corp 8050 Florence Ave Ste 32 Downey CA 90240-3896 Ph: (424) 262-2099 | Vida Wholeness Family Therapy Corp 1875 W Redondo Beach Blvd Ste 303 Gardena CA 90247-3644 Ph: (424) 262-2099 |
| NPI Number | 1760944227 |
|---|---|
| Provider Enumeration Date | 04/03/2019 |
| Last Update Date | 02/15/2023 |
| Certification Date | 02/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760944227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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