ASSISTANCE LEAGUE OF SAN PEDRO-SOUTH BAY
NPI 1124442850
Clinic/Center - Dental in San Pedro, CA
- Organization
- Clinic/Center
- Dental
About ASSISTANCE LEAGUE OF SAN PEDRO-SOUTH BAY
This page provides the complete NPI Profile along with additional information for Assistance League Of San Pedro-south Bay, a provider established in San Pedro, California operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1124442850 assigned on February 2014. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Mrs. Sharon Jean Cole (President)
- NPI
- 1124442850 Verify this NPI
- Provider Name
- ASSISTANCE LEAGUE OF SAN PEDRO-SOUTH BAY
- Entity Type
- Organization
- Location Address
- 1441 W 8TH ST SAN PEDRO, CA 90732
- Location Phone
- (310) 832-8355
- Location Fax
- (310) 832-8460
- Mailing Address
- 1441 W 8TH ST SAN PEDRO, CA 90732
- Mailing Phone
- (310) 832-8355
- Mailing Fax
- (310) 832-8460
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-18-2014
- Last Update Date
- 12-03-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Dental
- Taxonomy Code
- 261QD0000X
- Type
- Ambulatory Health Care Facilities
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Other Providers at the Same Location
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124442850, enumerated as an "organization" on February 18, 2014.
The provider is located at 1441 W 8TH ST SAN PEDRO, CA 90732 and the phone number is (310) 832-8355.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.