Individual provider · Type 1 NPI
Tito Duran
Intellectual Disabilities Intermediate Care Facility · Gardena, CA
NPI number
1831072693
Active
Practice location
1309 W 159th St
Gardena, CA 90247-4323
Fax (424) 378-6334
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 960000990 (CA) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Another provider at this address
About NPI 1831072693
Tito Duran's National Provider Identifier is 1831072693, issued on Jul 29, 2025. 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 Jul 29, 2025.