Organization
PEDIATRIC MINDS MEDICAL CENTER
Active
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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