Shaw-Clark, Natasha Montez

Shaw-Clark, Natasha Montez is an individual health care provider with primary practice located at 130 W Victoria St , Gardena CA 90248-3523. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Shaw-Clark, Natasha Montez can be contacted via phone (310) 715-2020.

Contact Information

Primary practice address
130 W Victoria St Gardena CA 90248-3523
Phone: (310) 715-2020
Fax: (310) 715-6600
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1013101278
LBN Legal business name Shaw-Clark, Natasha Montez
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2007
Last updated Aug 30th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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