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Organization
SOUTH BAY CHILDREN'S HEALTH CENTER
Active
Organization
SOUTH BAY CHILDREN'S HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINA J. HARRIS (EXECUTIVE DIRECTOR)
(310) 316-1212
Entity
Organization
Contact information
Practice address
1617 CRAVENS AVE, TORRANCE, CA 90501-3203
(310) 328-0855
(310) 328-9636
Mailing address
1617 CRAVENS AVE, TORRANCE, CA 90501-3203
(310) 328-0855
(310) 328-9636
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
960000038
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001969
MEDI-CAL NUMBER
CA
Enumeration date
02/08/2007
Last updated
04/22/2013
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