| Goretti Health Services Inc. | |
|
14623 Hawthorne Blvd Suite 306 Lawndale CA 90260-1581 | |
| (310) 973-0100 | |
| (310) 973-0099 |
| Full Name | Goretti Health Services Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 14623 Hawthorne Blvd, Lawndale, California |
| Authorized Official Name and Position | Richards Bede Nzenwa (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3109730100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goretti Health Services Inc. 14623 Hawthorne Blvd Suite 306 Lawndale CA 90260-1581 Ph: (310) 973-0100 | Goretti Health Services Inc. 14623 Hawthorne Blvd Suite 306 Lawndale CA 90260-1581 Ph: (310) 973-0100 |
| NPI Number | 1184769143 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184769143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 190559AN (California) | Primary |
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