NEW FAITH TRANSITIONAL LIVING NPI 1760868418

NPI Information

  • NPI: 1760868418
  • Provider Name: NEW FAITH TRANSITIONAL LIVING
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: WEST GARDENA COMMUNITY CLINIC
  • Address: 2233 W ROSECRANS AVE
    GARDENA, CA
    ZIP 90249
  • Phone: (310) 436-7760

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NPI Details

NEW FAITH TRANSITIONAL LIVING is a family medicine in Gardena, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NEW FAITH TRANSITIONAL LIVING NPI is 1760868418. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As West Gardena Community Clinic.

The provider's business location address is:

2233 W ROSECRANS AVE
GARDENA, CA
ZIP 90249-905
Phone: (310) 436-7760

The provider's authorized official is Alice Blaci .
The authorized official title is President and has the following contact phone number (310) 436-7760.

The enumeration date for this NPI number is 8/5/2015 and was last updated on 8/5/2015.

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
1363A00000XPhysician AssistantPA12545CALIFORNIANo
2207Q00000XFamily Medicine20AA5193CALIFORNIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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