| Ssg Apait | |
|
3055 Wilshire Blvd Ste 300 Los Angeles CA 90010-1147 | |
| (213) 375-3830 | |
| Not Available |
| Full Name | Ssg Apait |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3055 Wilshire Blvd Ste 300, Los Angeles, California |
| Authorized Official Name and Position | Herbert K Hatanaka (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2135531800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ssg Apait 905 E 8th St Los Angeles CA 90021-1848 Ph: (213) 553-1800 | Ssg Apait 3055 Wilshire Blvd Ste 300 Los Angeles CA 90010-1147 Ph: (213) 375-3830 |
| NPI Number | 1013404524 |
|---|---|
| Provider Enumeration Date | 04/19/2018 |
| Last Update Date | 06/30/2023 |
| Certification Date | 06/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013404524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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