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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FRED JEFFERSON MEMORIAL HOME FOR BOYS

Active Organization

FRED JEFFERSON MEMORIAL HOME FOR BOYS is a Community/Behavioral Health organization located in GARDENA, California. NPI 1659561223 is currently active in the NPPES registry. Verify at CMS.

Community/Behavioral Health · GARDENA, CA

Registration Details

NPI Number
1659561223
Provider Type
Organization
NPI Issued
Jul 30, 2007 (19.03811706395 yrs)
Last Updated
Mar 3, 2020
License
197804218 (CA)

Practice Information

Address
152 W WALNUT ST STE 150
GARDENA, CA, 902483146
Browse CA providers · Browse ZIP 90248
Phone
3107631660
Fax
3107631660
Primary Specialty
Community/Behavioral Health
251S00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.