| Moonstone Center | |
|
3424 W Carson St Suite 580 Torrance CA 90503-5701 | |
| (310) 371-2800 | |
| (310) 371-2844 |
| Full Name | Moonstone Center |
|---|---|
| Speciality | Clinic/center |
| Location | 3424 W Carson St, Torrance, California |
| Authorized Official Name and Position | Elisabeth R Crim (CEO, PSYCHOLOGIST) |
| Authorized Official Contact | 3103712800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moonstone Center 3424 W Carson St Suite 580 Torrance CA 90503-5701 Ph: (310) 371-2800 | Moonstone Center 3424 W Carson St Suite 580 Torrance CA 90503-5701 Ph: (310) 371-2800 |
| NPI Number | 1609068782 |
|---|---|
| Provider Enumeration Date | 08/13/2007 |
| Last Update Date | 08/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609068782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | PSY17770 (California) | Primary |
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