Organization
PACIFIC VIEW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YOLANDA PAMINPUAN ADUALT RESIDENTIAL (FACILITY MANAGER)
(310) 521-9896
Entity
Organization
Contact information
Practice address
2300 S PACIFIC AVE, SAN PEDRO, CA 90731-5936
(310) 521-9896
Mailing address
2300 S PACIFIC AVE, SAN PEDRO, CA 90731-5936
(310) 521-9896
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
198600662
CA
Other
Enumeration date
12/17/2008
Last updated
12/17/2008
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