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Organization
SHARE
Active
Organization
SHARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN FRANK LUJAN (COUNSELOR - MENTAL HEALTH)
(310) 782-4701
Entity
Organization
Contact information
Practice address
6666 GREEN VALLEY CIR, CULVER CITY, CA 90230-7068
(310) 846-5270
Mailing address
1219 BERYL ST, REDONDO BEACH, CA 90277-2438
(310) 782-4701
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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