| Koinonia Foster Homes, Inc. | |
|
1225 W 190th St Ste 255 Gardena CA 90248-4342 | |
| (310) 217-0930 | |
| (310) 217-0907 |
| Full Name | Koinonia Foster Homes, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1225 W 190th St Ste 255, Gardena, California |
| Authorized Official Name and Position | Tiffany Danielle Sickler (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9166525802 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Koinonia Foster Homes, Inc. Po Box 1403 Loomis CA 95650-1403 Ph: (916) 652-5802 | Koinonia Foster Homes, Inc. 1225 W 190th St Ste 255 Gardena CA 90248-4342 Ph: (310) 217-0930 |
| NPI Number | 1467997403 |
|---|---|
| Provider Enumeration Date | 12/29/2016 |
| Last Update Date | 02/23/2023 |
| Certification Date | 02/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467997403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Preserving The Culture For All Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 18726 S Western Ave Ste 415, Gardena, CA 90248 Phone: 562-335-7867 | |
Sunshine Community Resource Organization Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1202 W 135th Street, Gardena, CA 90247 Phone: 626-600-9392 | |
City2village International Initiative Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 18726 S Western Ave Ste 403, Gardena, CA 90248 Phone: 310-769-5710 Fax: 844-850-5892 | |
Los Angeles County Department Of Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14112 S Kingsley Dr, Gardena, CA 90249 Phone: 213-217-7312 Fax: 310-496-2757 | |
Drew Child Development Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1411 W. 190th Street Suite 300, Gardena, CA 90248 Phone: 310-609-3890 Fax: 310-609-0301 | |
California Institute Of Health & Social Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 555 W Redondo Beach Blvd # 215, Gardena, CA 90248 Phone: 310-352-6422 | |
Mendrix Medical Associates Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 18726 S Western Ave Ste 320, Gardena, CA 90248 Phone: 310-773-8975 Fax: 702-977-1496 |