| United States Veterans Initiative - Inglewood | |
|
733 Hindry Ave Inglewood CA 90301-3030 | |
| (310) 744-6552 | |
| (310) 645-2605 |
| Full Name | United States Veterans Initiative - Inglewood |
|---|---|
| Speciality | Clinic/Center |
| Location | 733 Hindry Ave, Inglewood, California |
| Authorized Official Name and Position | Lisa Jackson-zeno (MEDICAL BILLING PROJECT COORDINATOR) |
| Authorized Official Contact | 2137604630 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| United States Veterans Initiative - Inglewood 800 W 6th St Ste 1505 Los Angeles CA 90017-2704 Ph: (310) 744-6552 | United States Veterans Initiative - Inglewood 733 Hindry Ave Inglewood CA 90301-3030 Ph: (310) 744-6552 |
| NPI Number | 1629445051 |
|---|---|
| Provider Enumeration Date | 09/02/2015 |
| Last Update Date | 07/07/2025 |
| Certification Date | 07/07/2025 |
| Medicare PECOS PAC ID | 4082963475 |
|---|---|
| Medicare Enrollment ID | O20191203001147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629445051 | NPI | - | NPPES |
| Provider Name | Stephen C Winston |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730204884 PECOS PAC ID: 8224182597 Enrollment ID: I20090820000745 |
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