Provider First Line Business Practice Location Address:
555 EAST HARDY STREET, DIRECTOR OF CM SW
Provider Second Line Business Practice Location Address:
CENTINELA HOSPITAL MEDICAL CENTER
Provider Business Practice Location Address City Name:
INGLEWOOD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-357-5606
Provider Business Practice Location Address Fax Number:
310-412-4423
Provider Enumeration Date:
03/25/2020