| South Bay Behavioral Medicine | |
|
4305 Torrance Blvd Ste 508 Torrance CA 90503-4493 | |
| (424) 392-6060 | |
| (424) 392-6062 |
| Full Name | South Bay Behavioral Medicine |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4305 Torrance Blvd Ste 508, Torrance, California |
| Authorized Official Name and Position | Cara Wilson (PRESIDENT) |
| Authorized Official Contact | 4243926060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Bay Behavioral Medicine 322 Culver Blvd Ste 171 Playa Del Rey CA 90293-7704 Ph: (424) 392-6060 | South Bay Behavioral Medicine 4305 Torrance Blvd Ste 508 Torrance CA 90503-4493 Ph: (424) 392-6060 |
| NPI Number | 1790315141 |
|---|---|
| Provider Enumeration Date | 01/23/2020 |
| Last Update Date | 01/23/2020 |
| Certification Date | 01/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790315141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | () | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
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