Step Up On Second Act Program

LBN: Step Up On Second Act Program
Step Up On Second Act Program is an health care organization with primary practice located at 3435 Ocean Park Blvd , Santa Monica CA 90405-3301. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty. Step Up On Second Act Program can be contacted via phone (310) 392-9474, or through Jensen, Michelle A. via phone (715) 212-6855.

Contact Information

Primary practice address
3435 Ocean Park Blvd Santa Monica CA 90405-3301
Phone: (310) 392-9474
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jensen, Michelle A. M.S.
Phone: (715) 212-6855

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X

Profile Details

NPI number 1235395096
LBN Legal business name Step Up On Second Act Program
DBA Doing business as
Authorized official Jensen, Michelle A. M.S.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 31st, 2008
Last updated Jul 31st, 2008 - about 18 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.

Request for update

Popular Providers