Total Family Support Clinic

LBN: Total Family Support Clinic
Total Family Support Clinic is an health care organization with primary practice located at 740 N Pacific Ave C1 & C2, San Pedro CA 90731-1630. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty. Total Family Support Clinic can be contacted via phone (213) 213-0581, or through Verkhovsky, Marina via phone (213) 213-0581.

Contact Information

Primary practice address
740 N Pacific Ave C1 & C2 San Pedro CA 90731-1630
Phone: (213) 213-0581
Fax: (213) 213-0580
Website:
Map and Directions
Authorized official contact:
Name: Verkhovsky, Marina MS
Phone: (213) 213-0581

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X

Profile Details

NPI number 1295085934
LBN Legal business name Total Family Support Clinic
DBA Doing business as
Authorized official Verkhovsky, Marina MS
Entity Organization
Organization subpart 1 No
Enumeration date Sep 10th, 2012
Last updated Sep 10th, 2012 - about 14 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 1295085934 NPPES
California MEDICAID 197134

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