SOUTH BAY CHILDREN'S HEALTH CENTER NPI 1982721916

NPI Information

NPI: 1982721916
Provider Name: SOUTH BAY CHILDREN'S HEALTH CENTER
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
410 SOUTH CAMINO REAL
REDONDO BEACH, CA
ZIP 90277
Phone: (310) 316-1212
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SOUTH BAY CHILDREN'S HEALTH CENTER is a mental health counselor in Redondo Beach, CA. SOUTH BAY CHILDREN'S HEALTH CENTER NPI is 1982721916. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

410 SOUTH CAMINO REAL
REDONDO BEACH, CA
ZIP 90277-815
Phone: (310) 316-1212
Fax: (310) 316-4411

The provider's authorized official is Christina J Harris .
The authorized official title is Executive Director and has the following contact phone number (310) 316-1212.

The enumeration date for this NPI number is 3/23/2007 and was last updated on 6/28/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	960000038	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000007220	OTHER	CALIFORNIA	MEDI-CAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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