institution
El Dorado Community Service Center
Primary Care Clinic/Center in Inglewood, California
NPI 1700882156

El Dorado Community Service Center is a Primary Care Clinic/Center based in Valencia, CA and is specialized in Primary Care. El Dorado Community Service Center practices in Inglewood, CA. The NPI Number for El Dorado Community Service Center is 1700882156 and holds a License No. (California).

The current practice location address for El Dorado Community Service Center is 4450 W Century Blvd, Inglewood, CA and can be reached out via phone at 310-671-0555 and via fax at 310-674-5292. You can also correspond with El Dorado Community Service Center through the mailing address at PO BOX 801809, VALENCIA, CA - 91380-1809 (mailing address contact number: 661-254-6630).

Location: 4450 W Century Blvd, Inglewood, CA, 91380-1809
institution
Provider Profile Details
NPI Number
1700882156
Provider Name
El Dorado Community Service Center
Credential
Provider Entity Type
Organization
Address
4450 W Century Blvd, Inglewood, CA, 91380-1809
Phone Number
310-671-0555
Fax Number
310-674-5292
Provider Enumeration Date
06/21/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1958 05 CA
CMM70092F 05 CA
EAP70092F 05 CA
institution
Provider Business Practice Location Address Details
Address
4450 W Century Blvd
City
State
Zip
90304-1504
Phone Number
310-671-0555
Fax Number
310-674-5292
person
Provider Business Mailing Address Details
Address
Po Box 801809
City
State
Zip
91380-1809
Phone Number
661-254-6630
Fax Number
661-254-6644
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
License No.
960000232 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
()
Definition
Definition to come...