Organization
TUNGSTEN HEALTH SOUTH LOS ANGELES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA CLEVELAND (MANAGER, NEW MARKETS)
(508) 212-9951
Entity
Organization
Contact information
Practice address
1005 E ROSECRANS AVE, EAST RANCHO DOMINGUEZ, CA 90221-2149
(508) 212-9951
Mailing address
39 ARKANSAS ST, SAN FRANCISCO, CA 94107-2434
(508) 212-9951
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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