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

MOURNING GLORY CLUB INC

Active Organization

MOURNING GLORY CLUB INC is a Mental Health Occupational Therapist organization located in MARINA DEL REY, California. NPI 1912712381 is currently active in the NPPES registry. Verify at CMS.

Mental Health Occupational Therapist · MARINA DEL REY, CA

Registration Details

NPI Number
1912712381
Provider Type
Organization
NPI Issued
Feb 11, 2025 (1.5512511424892 yrs)
Last Updated
Feb 11, 2025

Practice Information

Address
7 FLEET ST APT 108
MARINA DEL REY, CA, 902925731
Browse CA providers · Browse ZIP 90292
Phone
6464365976
Primary Specialty
Mental Health Occupational Therapist
225XM0800X
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.