Individual
MOHAMED GHALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
23025 MAPLE AVE UNIT B, TORRANCE, CA 90505-8127
(310) 530-5080
Mailing address
23025 MAPLE AVE UNIT B, TORRANCE, CA 90505-8127
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
8274
CA
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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