| Martha To Mary Pc | |
|
1225 W 190th St Ste 455h Gardena CA 90248-4320 | |
| (310) 800-9011 | |
| Not Available |
| Full Name | Martha To Mary Pc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1225 W 190th St Ste 455h, Gardena, California |
| Authorized Official Name and Position | Carla Callaway (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3108009011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Martha To Mary Pc 1225 W 190th St Ste 455h Gardena CA 90248-4320 Ph: (310) 800-9011 | Martha To Mary Pc 1225 W 190th St Ste 455h Gardena CA 90248-4320 Ph: (310) 800-9011 |
| NPI Number | 1013833516 |
|---|---|
| Provider Enumeration Date | 06/29/2026 |
| Last Update Date | 06/29/2026 |
| Certification Date | 06/28/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013833516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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