Organization · Type 2 NPI
Fountain of Life Centre
Case Manager/Care Coordinator · San Pedro, CA
Practice location
350 W 5th Street, Suite 105 1/2
San Pedro, CA 90731-2751
Fax (424) 477-5398
Mailing address
4733 Torrance Blvd, Pmb #464
Torrance, CA 90503-4100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator Primary | 171M00000X | 193200000X (CA) |
Case Manager/Care Coordinator: A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-e…
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About NPI 1083162630
Fountain of Life Centre's National Provider Identifier is 1083162630, issued on Sep 13, 2016. The primary taxonomy on file is Case Manager/Care Coordinator (171M00000X), and the practice location is in San Pedro, CA. The record was last updated on Apr 28, 2026.