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Organization
HOLISTIC LIFE CARE
Active
Organization
HOLISTIC LIFE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB RAFAEL DELGADO (CO-FOUNDER)
(424) 360-5998
Entity
Organization
Contact information
Practice address
415 S PROSPECT AVE APT 220, REDONDO BEACH, CA 90277-3946
(424) 360-5998
Mailing address
415 S PROSPECT AVE APT 220, REDONDO BEACH, CA 90277-3946
(424) 360-5998
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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