| Skywater Health | |
|
26516 Crenshaw Blvd Palos Verdes Peninsula CA 90274-3970 | |
| (310) 541-7911 | |
| (310) 541-4256 |
| Full Name | Skywater Health |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 26516 Crenshaw Blvd, Palos Verdes Peninsula, California |
| Authorized Official Name and Position | Lorena Baroni (OFFICE MANAGER) |
| Authorized Official Contact | 3105417911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Skywater Health 26516 Crenshaw Blvd Palos Verdes Peninsula CA 90274-3970 Ph: (310) 541-7911 | Skywater Health 26516 Crenshaw Blvd Palos Verdes Peninsula CA 90274-3970 Ph: (310) 541-7911 |
| NPI Number | 1124589478 |
|---|---|
| Provider Enumeration Date | 03/28/2019 |
| Last Update Date | 03/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124589478 | NPI | - | NPPES |
| 1992734701 | Other | CA | MEDICARE |
| 1992734701 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Westfield Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26516 Crenshaw Blvd, Palos Verdes Peninsula, CA 90274 Phone: 310-541-7911 Fax: 310-541-4256 |