Organization
HARBOR UCLA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTHA JEAN GURROLA RN (MHN.RN)
(310) 222-5072
Entity
Organization
Contact information
Practice address
1456 RONAN AVE, WILMINGTON, CA 90744-2022
(310) 834-7301
Mailing address
1456 RONAN AVE, WILMINGTON, CA 90744-2022
(310) 834-7301
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
269203
CA
Other
Enumeration date
11/06/2006
Last updated
08/22/2020
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