Los Angeles County Department Of Mental Health

Specialty details in registry · Gardena, CA

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At a glance

1045 W Redondo Beach Blvd Fl 3, Gardena, CA 90247-4128

NPPES record updated Nov 28, 2022. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
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Insurance participation and appointment availability are not established by these public records.

Practice location

1045 W Redondo Beach Blvd Fl 3
Gardena, CA 90247-4128
Professional details: NPI, taxonomy & registry record
NPI1760698112
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
261QM0801X
Enumeration date
May 15, 2007
Record updated
Nov 28, 2022
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

261QM0801X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1045 W Redondo Beach Blvd Fl 3
Gardena, CA 90247-4128
Phone
(310) 970-5000
Fax
(323) 756-1163
Mailing address
510 S VERMONT AVE

LOS ANGELES, CA 900201992
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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