Organization
TEAM ONE STOP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC WOOLRIDGE (EXECUTIVE DIRECTOR)
(323) 933-4391
Entity
Organization
Contact information
Practice address
5115 W ADAMS BLVD, LOS ANGELES, CA 90016-2727
(323) 933-4391
(323) 933-5973
Mailing address
5115 W ADAMS BLVD, LOS ANGELES, CA 90016-2727
(323) 933-4391
(323) 933-5973
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
190367AN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190367AN
STATE CERTIFICATION NO
CA
01
—
6862
PROVIDER BILLING NUMBER
CA
Enumeration date
05/22/2007
Last updated
08/22/2020
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