Organization
ADVANCED HEALTH CENTERS, INC.
Active
Other names
San Pedro ADHC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VALENTINA V LEIBZON (PROGRAM DIRECTOR)
(310) 519-9880
Entity
Organization
Contact information
Practice address
430 W 6TH ST, SAN PEDRO, CA 90731-2632
(310) 519-9880
(310) 519-8072
Mailing address
430 W 6TH ST, SAN PEDRO, CA 90731-2632
(310) 519-9880
(310) 519-8072
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ADU70368F
—
CA
Enumeration date
05/14/2007
Last updated
08/22/2020
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