# LIFE UNIVERSITY HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LIFE UNIVERSITY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1588087050
- **Legal business name:** LIFE UNIVERSITY
- **Authorized official:** DR. DONG WOO PARK (DEAN)
- **Authorized official phone:** (310) 323-9001

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | AC8057 | CA | Yes |

## Other

- **Enumeration date:** 02/03/2014
- **Last updated:** 02/03/2014