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Organization

MOMENTUM AGENCIES

Active
Other names
Momentum
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LORI LEE ANDERSON (PRESIDENT AND CHEF EXECUTIVE OFFICE)
(818) 782-2211
Entity
Organization

Contact information

Practice address
1815 W 213TH ST, SUITE 100, TORRANCE, CA 90501
(310) 328-0276
(310) 328-3094
Mailing address
6430 INDEPENDENCE AVE, WOODLAND HILLS, CA 91367
(818) 782-2211

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
225XP0200X
Pediatric Occupational Therapist
235Z00000X
Speech-Language Pathologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
GCT000530
CALIF DEPT OF HEALTH SERV
CA
01
GPT001530
CALIF DEPT OF HEALTH SERV
CA
Enumeration date
01/24/2007
Last updated
07/29/2022
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