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LOS ANGELES COUNTY - SAN PEDRO MTU
NPI 1982759304
Clinic/Center - Rehabilitation in San Pedro, CA

Active since January 24, 2007
308 S WEYMOUTH AVE, SAN PEDRO, CA 90732(310) 833-9528 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Los Angeles County - San Pedro Mtu NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOS ANGELES COUNTY - SAN PEDRO MTU (NPI 1982759304) is a healthcare organization registered as a rehabilitation in San Pedro, California and active in the NPI registry since January 2007. The organization lists Shavonda Webber-christmas, Acting Director, Cms, as its authorized official.

NPPES Registry Identity

NPI1982759304
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameLOS ANGELES COUNTY - SAN PEDRO MTU
Location Address308 S WEYMOUTH AVESan Pedro, CA 90732-3426
Mailing Address9320 Telstar Ave Ste 226El Monte, CA 91731-2849
Phone(310) 833-9528
Organization SubpartNo
Authorized OfficialShavonda Webber-christmasActing Director, Cms · (626) 569-6001
Enumeration DateJanuary 24, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1982759304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
308 S WEYMOUTH AVE, San Pedro, CA 90732
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Other Identifiers 1

MedicaidCCS00062FCA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Los Angeles County - San Pedro Mtu's NPI number?

The NPI number for Los Angeles County - San Pedro Mtu is 1982759304. It was assigned to this organization in the NPPES registry on January 24, 2007.

Where is Los Angeles County - San Pedro Mtu located?

Los Angeles County - San Pedro Mtu is located at 308 S Weymouth Ave, San Pedro, CA 90732. The listed phone number is (310) 833-9528.

What is Los Angeles County - San Pedro Mtu's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

When was this NPI record last updated?

The NPPES record for Los Angeles County - San Pedro Mtu was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.