Organization
NEW FAITH TRANSITIONAL LIVING
Active
Organization
NEW FAITH TRANSITIONAL LIVING
Active
Other names
West Gardena Community Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE BLACK (DIRECTOR)
(310) 766-2500
Entity
Organization
Contact information
Practice address
2233 W ROSECRANS AVE, GARDENA, CA 90249-2905
(310) 766-2500
Mailing address
2233 W ROSECRANS AVE, GARDENA, CA 90249-2905
(310) 766-2500
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
A75693
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A75693
—
CA
Enumeration date
06/08/2015
Last updated
06/08/2015
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