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Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHARON OH (CLINICAL DIRECTOR)
(310) 892-5812
Entity
Organization

Contact information

Practice address
19401 S VERMONT AVE, C201, TORRANCE, CA 90502-1029
(310) 892-5812
Mailing address
19401 S VERMONT AVE, C201, TORRANCE, CA 90502-1029
(310) 892-5812

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
11/15/2016
Last updated
11/15/2016
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