| Ladera Education Institute | |
|
601 Grace Ave Inglewood CA 90301-1306 | |
| (310) 641-0870 | |
| (310) 641-8476 |
| Full Name | Ladera Education Institute |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 601 Grace Ave, Inglewood, California |
| Authorized Official Name and Position | Paul F Radke (TREASURER) |
| Authorized Official Contact | 3106410870 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ladera Education Institute 601 Grace Ave Inglewood CA 90301-1306 Ph: (310) 641-0870 | Ladera Education Institute 601 Grace Ave Inglewood CA 90301-1306 Ph: (310) 641-0870 |
| NPI Number | 1730649674 |
|---|---|
| Provider Enumeration Date | 03/25/2019 |
| Last Update Date | 04/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730649674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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