Inglewood Medical & Mental Health Services

LBN: El Dorado Community Service Center
Inglewood Medical & Mental Health Services is an health care organization with primary practice located at 4450 W Century Blvd , Inglewood CA 90304-1504. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Methadone, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. El Dorado Community Service Center can be contacted via phone (310) 671-0555, or through Sharma, Pramesh P via phone (661) 254-6630.

Contact Information

Primary practice address
4450 W Century Blvd Inglewood CA 90304-1504
Fax: (310) 674-5292
Website:
Authorized official contact:
Name: Sharma, Pramesh P

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Methadone 261QM2800X
Ambulatory Health Care Facilities / Primary Care 261QP2300X 960000232 California

Profile Details

NPI number 1700882156
LBN Legal business name El Dorado Community Service Center
DBA Doing business as Inglewood Medical & Mental Health Services
Authorized official Sharma, Pramesh P
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2005
Last updated Sep 20th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700882156 NPPES
California MEDICAID 1958
California MEDICAID CMM70092F
California MEDICAID EAP70092F

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