Organization
PEDIATRIC MINDS MEDICAL CENTER
Active
Other names
Early Childhood Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
PANTEA SHARIFI (OFFICE MANAGER)
(310) 540-1630
Entity
Organization
Contact information
Practice address
3524 TORRANCE BLVD STE 103, TORRANCE, CA 90503-4821
(310) 540-1630
(310) 543-0400
Mailing address
3524 TORRANCE BLVD STE 103, TORRANCE, CA 90503-4821
(310) 540-1630
(310) 543-0400
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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