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Organization

LIFE UNIVERSITY HEALTH CENTER

Active
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Organization

LIFE UNIVERSITY HEALTH CENTER

Active
Parent organization
LIFE UNIVERSITY
Organization subpart
Yes

Provider details

NPI number
Legal business name
LIFE UNIVERSITY
Authorized official
DR. DONG WOO PARK (DEAN)
(310) 323-9001
Entity
Organization

Contact information

Practice address
555 W REDONDO BEACH BLVD, GARDENA, CA 90248-1612
(310) 323-9001
(310) 756-0004
Mailing address
555 W REDONDO BEACH BLVD, GARDENA, CA 90248-1612
(310) 323-9001
(310) 756-0004

Taxonomy

Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
AC8057
CA

Other

Enumeration date
02/03/2014
Last updated
02/03/2014
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