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Organization
INTEGRATED HEALTH CARE SERVICES
Active
Organization
INTEGRATED HEALTH CARE SERVICES
Active
Parent organization
LIFELINE WALK IN MEDICAL AND MENTAL HEALTH CLINIC
Other names
LifeLine Walk In Medical and Mental Health Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFELINE WALK IN MEDICAL AND MENTAL HEALTH CLINIC
Authorized official
MRS. ANULIKA CHILAKA (FAMILY NURSE PRACTITIONER)
(310) 686-2347
Entity
Organization
Contact information
Practice address
3535 TORRANCE BLVD STE 13, TORRANCE, CA 90503-4815
(310) 817-5581
Mailing address
3535 TORRANCE BLVD STE 13, TORRANCE, CA 90503-4815
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679140644
SAMUEL CHILAKA PMHNP
CA
Enumeration date
05/06/2024
Last updated
05/06/2024
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