Organization
BEACH CITIES HEALTH DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM BAKALY (CHIEF EXECUTIVE OFFICER)
(310) 374-3426
Entity
Organization
Contact information
Practice address
514 N PROSPECT AVE, REDONDO BEACH, CA 90277-3036
(310) 374-3426
(310) 376-4738
Mailing address
1200 DEL AMO ST, REDONDO BEACH, CA 90277-3050
(310) 374-3426
(310) 376-4738
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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