Organization
PINE HOUSE VILLA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYDNEY PRESLEY (ADMINISTRATOR)
(562) 225-5498
Entity
Organization
Contact information
Practice address
1218 E PINE ST, COMPTON, CA 90221-1174
(562) 225-5498
Mailing address
1218 E PINE ST, COMPTON, CA 90221-1174
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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