Organization
LOS ANGELES COUNTY - PACIFIC BLVD. MTU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WESLEY FORD (DIRECTOR, CMS)
(626) 569-6001
Entity
Organization
Contact information
Practice address
2660 E 57TH STREET, HUNTINGTON PARK, CA 90255-4403
(323) 286-1888
Mailing address
9320 TELSTAR AVE STE226, EL MONTE, CA 91731-2849
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
02/03/2010
Last updated
02/03/2010
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