Los Angeles County - San Pedro Mtu

LBN: Los Angeles County - San Pedro Mtu
Los Angeles County - San Pedro Mtu is an health care organization with primary practice located at 308 S Weymouth Ave , San Pedro CA 90732-3426. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, which is considered as the primary health care specialty. Los Angeles County - San Pedro Mtu can be contacted via phone (310) 833-9528, or through Webber-Christmas, Shavonda via phone (626) 569-6001.

Contact Information

Primary practice address
308 S Weymouth Ave San Pedro CA 90732-3426
Phone: (310) 833-9528
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Webber-Christmas, Shavonda
Phone: (626) 569-6001

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X

Profile Details

NPI number 1982759304
LBN Legal business name Los Angeles County - San Pedro Mtu
DBA Doing business as
Authorized official Webber-Christmas, Shavonda
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982759304 NPPES
California MEDICAID CCS00062F

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