Organization
TOTAL FAMILY SUPPORT CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLGA SKARLATO PHD (CEO)
(818) 833-9789
Entity
Organization
Contact information
Practice address
2511 LONG BEACH BLVD, LONG BEACH, CA 90806-3111
(562) 981-1501
(562) 981-1502
Mailing address
2511 LONG BEACH BLVD, LONG BEACH, CA 90806-3111
(562) 981-1501
(562) 981-1502
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19-6834
—
CA
05
—
19-7134
—
CA
Enumeration date
04/27/2007
Last updated
08/22/2020
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