Organization · Type 2 NPI

Tita de Guzman Insurance Agency

Intellectual Disabilities Intermediate Care Facility · Gardena, CA

NPI number 1205010824 Active

Practice location

15319 Spinning Ave
Gardena, CA 90249-4143

Call (310) 768-8099 Map

Mailing address

1241 Grand Ave, Suite H
Diamond Bar, CA 91765-4447

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X960000845 (CA)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1205010824

Tita de Guzman Insurance Agency's National Provider Identifier is 1205010824, issued on Dec 18, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Gardena, CA. The record was last updated on May 21, 2008.