| Pine House Villa | |
|
1218 E Pine St Compton CA 90221-1174 | |
| (562) 225-5498 | |
| Not Available |
| Full Name | Pine House Villa |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 1218 E Pine St, Compton, California |
| Authorized Official Name and Position | Sydney Presley (ADMINISTRATOR) |
| Authorized Official Contact | 5622255498 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pine House Villa 1218 E Pine St Compton CA 90221-1174 Ph: () - | Pine House Villa 1218 E Pine St Compton CA 90221-1174 Ph: (562) 225-5498 |
| NPI Number | 1386472447 |
|---|---|
| Provider Enumeration Date | 07/22/2024 |
| Last Update Date | 07/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386472447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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