Tita De Guzman Insurance Agency

NPI 1205010824 - Intermediate Care Facility, Mentally Retarded - 315P00000X

NPI Details
NPI 1205010824
Enumeration Date 12/18/2007
Last Updated 05/21/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name TITA TITA
Position CEO/LICENSEE
Phone (310) 768-8099
Fax
Practice Location
15319 SPINNING AVE
GARDENA CA, 90249-4143, US
Phone (310) 768-8099
Fax
Business Location
1241 GRAND AVE
SUITE H
DIAMOND BAR CA, 91765-4447, US
Phone (909) 348-0444
Fax (909) 348-0439
Toxanomy
Taxonomy Code 315P00000X
License State California
License Number 960000845
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According to our database, Tita De Guzman Insurance Agency NPI is 1205010824, taxonomy code is 315P00000X and license number is 960000845, license state is located at California. Tita De Guzman Insurance Agency physically located at 15319 Spinning Ave, Gardena CA, 90249-4143. NPI Number 1033115704 has the healthcare provider type.

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1205010824 NPI number is provided on an as is basis without warranty of any kind. 1205010824 is maintained by the National Plan & Provider Enumeration System. The contents of Tita De Guzman Insurance Agency are for informational purposes only.