| West Gardena Community Clinic | |
|
2233 W Rosecrans Ave Gardena CA 90249-2905 | |
| (310) 766-2500 | |
| Not Available |
| Full Name | West Gardena Community Clinic |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 2233 W Rosecrans Ave, Gardena, California |
| Authorized Official Name and Position | Alice Black (DIRECTOR) |
| Authorized Official Contact | 3107662500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Gardena Community Clinic 2233 W Rosecrans Ave Gardena CA 90249-2905 Ph: (310) 766-2500 | West Gardena Community Clinic 2233 W Rosecrans Ave Gardena CA 90249-2905 Ph: (310) 766-2500 |
| NPI Number | 1902286644 |
|---|---|
| Provider Enumeration Date | 06/08/2015 |
| Last Update Date | 06/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902286644 | NPI | - | NPPES |
| A75693 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | A75693 (California) | Primary |
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