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Organization
GUARDIAN HEALTH CARE SERVICES
Active
Organization
GUARDIAN HEALTH CARE SERVICES
Active
Other names
D'Amore Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN WOODFORD SMITH (CHIEF ADMINISTRATIVE OFFICER)
(949) 892-3020
Entity
Organization
Contact information
Practice address
1055 CHEYENNE STREET, COSTA MESA, CA 92626-2860
(714) 375-1110
Mailing address
16541 GOTHARD STREET, SUITE 102, HUNTINGTON BEACH, CA 92647-4471
(714) 375-1110
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
306005925
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
CA
01
—
MHBS210360
CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES
CA
Enumeration date
09/07/2016
Last updated
07/09/2021
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