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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