Graceful Senescence | |
120 W El Segundo Blvd Los Angeles CA 90061-1628 | |
(310) 538-5808 | |
(310) 538-5406 |
Full Name | Graceful Senescence |
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Speciality | Clinic/center - Adult Day Care |
Location | 120 W El Segundo Blvd, Los Angeles, California |
Authorized Official Name and Position | Sharon Selico (PRESIDENT) |
Authorized Official Contact | 3232937072 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Graceful Senescence 120 W El Segundo Blvd Los Angeles CA 90061-1628 Ph: (310) 538-5808 | Graceful Senescence 120 W El Segundo Blvd Los Angeles CA 90061-1628 Ph: (310) 538-5808 |
NPI Number | 1033221452 |
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Provider Enumeration Date | 08/31/2006 |
Last Update Date | 05/03/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033221452 | NPI | - | NPPES |
060000630 | Medicaid | CA | |
ADU70181G | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 060000630 (California) | Secondary |
261QA0600X | Clinic/center - Adult Day Care | (* (Not Available)) | Primary |
Joseph I Kang Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3755 Beverly Blvd, Ste 301, Los Angeles, CA 90004 Phone: 323-664-7777 | |
John L Sherman Md Amc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8635 W 3rd St Ste 485w, Los Angeles, CA 90048 Phone: 310-855-8081 Fax: 310-855-0438 | |
Altamed Health Services Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5425 Pomona Blvd, Los Angeles, CA 90022 Phone: 323-832-7527 Fax: 323-832-7599 | |