Organization
HARBOR-UCLA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J. MARTIN PH.D. (MANAGER)
(310) 222-3198
Entity
Organization
Contact information
Practice address
1000 W CARSON ST, TORRANCE, CA 90502-2004
(310) 222-3198
Mailing address
1000 W CARSON ST, TORRANCE, CA 90502-2004
(310) 222-3198
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
390200000X
CA
Other
Enumeration date
05/14/2010
Last updated
05/14/2010
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