Organization · Type 2 NPI

Behavioral Health Services Inc.

Community Health Clinic/Center · Wilmington, CA

NPI number 1023536992 Active

Practice location

1334 N Avalon Blvd
Wilmington, CA 90744-2639

Call (310) 835-4009 Map

Fax (310) 679-2920

Mailing address

15519 Crenshaw Blvd
Gardena, CA 90249-4525

Specialties and licenses

Taxonomy	Code	License
Community Health Clinic/Center Primary	261QC1500X	550003493 (CA)

Community Health Clinic/Center: Definition to come...

4 other providers at this address

Christopher Vargas, NPFamily Nurse Practitioner Wilmington, CA NPI 1831818533
Jennifer Kho Ting Casabar, MDFamily Medicine Physician Wilmington, CA NPI 1578060588
Jordan Riccoboni, MPAPhysician Assistant Wilmington, CA NPI 1083442123
Xanthe Anelee DominguezCommunity Health Worker Wilmington, CA NPI 1861263956

Other community health clinic/center providers in Wilmington

See all in Wilmington →

NPI record

NPI: 1023536992
Entity type: Organization (Type 2)
Issued: Aug 31, 2017
Last updated: Aug 31, 2017
Status: Active

Other names

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BHS - El Puerto Family Health Center · doing business as

Authorized official

Ms. Shirley Ann Summers, LCSW
President/chief Executive Officer
(310) 679-9126

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1023536992

Behavioral Health Services Inc.'s National Provider Identifier is 1023536992, issued on Aug 31, 2017. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in Wilmington, CA. The record was last updated on Aug 31, 2017.