Special Service For Groups, INC.
Clinic/Center in Los Angeles, CA. Organization (NPI-2).
NPI number1831753615
StatusActive
Last updated in NPPESOct 27, 2022
Details
- NPI
- 1831753615
- Entity type
- Organization (NPI-2)
- Legal business name
- Special Service For Groups, INC.
- Organization subpart
- No
- Enumeration date
- Apr 26, 2019
- Certification date
- Oct 27, 2022
- Last updated
- Oct 27, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Other names
- Ssg Project 180 Sola (Other Name)
Practice location
4601 S Broadway AvenueLos Angeles, CA 90037-2729
Phone 213-223-5922 · Fax 323-897-5334
Mailing address
905 E 8th StLos Angeles, CA 90021-1848
Phone 213-553-1800
Authorized official
Herbert K Hatanaka
Executive Director
2135531800
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