LIFE UNIVERSITY HEALTH CENTER NPI 1588087050

NPI Information

NPI: 1588087050
Provider Name: LIFE UNIVERSITY HEALTH CENTER
Classification: Residential Treatment Facility, Physical Disabilities - 320700000X
Entity Type: Organization
Address:
555 W REDONDO BEACH BLVD
GARDENA, CA
ZIP 90248
Phone: (310) 323-9001
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LIFE UNIVERSITY HEALTH CENTER is a residential treatment facility physical disabilities in Gardena, CA. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. LIFE UNIVERSITY HEALTH CENTER NPI is 1588087050. The provider is registered as an organization entity type.

The provider's business location address is:

555 W REDONDO BEACH BLVD
GARDENA, CA
ZIP 90248-612
Phone: (310) 323-9001
Fax: (310) 756-0004

The provider's authorized official is Dong Woo Park .
The authorized official title is Dean and has the following contact phone number (310) 323-9001.

The enumeration date for this NPI number is 2/3/2014 and was last updated on 2/3/2014.

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	320700000X	Residential Treatment Facility, Physical Disabilities		AC8057	CALIFORNIA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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