Fred Jefferson M Aftercare

LBN: Fred Jefferson Moreno
Fred Jefferson M Aftercare is an health care organization with primary practice located at 152 W Walnut St Suite 150, Gardena CA 90248-3141. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty. Fred Jefferson Moreno can be contacted via phone (310) 763-1660, or through Sewell, Darryl via phone (310) 929-0738.

Contact Information

Primary practice address
152 W Walnut St Suite 150 Gardena CA 90248-3141
Phone: (310) 763-1660
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sewell, Darryl
Phone: (310) 929-0738

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X

Profile Details

NPI number 1962954024
LBN Legal business name Fred Jefferson Moreno
DBA Doing business as Fred Jefferson M Aftercare
Authorized official Sewell, Darryl
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2016
Last updated Oct 25th, 2016 - about 8 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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