PEDIATRIC MINDS MEDICAL CENTER


Address: 3524 Torrance Blvd Ste 103, Torrance, CA 90503-4821
Phone: 3105401630

PEDIATRIC MINDS MEDICAL CENTER (NPI# 1316252000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316252000
Entity Type Organization
Organization Name PEDIATRIC MINDS MEDICAL CENTER
Other Organization Name EARLY CHILDHOOD TREATMENT CENTER
Practice Address 3524 Torrance Blvd Ste 103
Torrance
CA 90503-4821
Practice Telephone 3105401630
Practice Fax Number 3105430400
Mailing Telephone 3105401630
Mailing Fax Number 3105430400
Enumeration Date 2010-08-18
Last Update Date 2010-08-18
Authorized Official Name PANTEA SHARIFI (OFFICE MANAGER)
Authorized Official Telephone 3105401630
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD1600X Clinic/Center
Specialization: Developmental Disabilities
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Early Childhood Treatment Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1205140548 Pediatric Minds Medical Center Psychologist 3524 Torrance Blvd, Suite 103, Torrance, CA 90503-4821 2010-07-28

Office Location

Street Address 3524 TORRANCE BLVD STE 103
City TORRANCE
State CA
Zip Code 90503-4821

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1770093023 Home Care Professional Services, Inc. In Home Supportive Care 3838 West Carson Street, Suite 208, Torrance, CA 90503 2017-10-01
1003355686 Mona Nejad Dentist 4305 Torrance Blvd Ste 103, Torrance, CA 90503 2017-02-16
1497114722 Jacqueline Martinez Technician, Other 4201 Torrance Blvd Suite 190, Torrance, CA 90503 2016-02-15
1093196255 Hanmo Gu Chiropractor 3510 Torrance Blvd., Ste 106, Torrance, CA 90503 2015-06-13
1164813341 Aimee Y Miyazawa Specialist/Technologist 20501 Earl St. Ste. 3, Torrance, CA 90503 2015-02-10
1396145231 Nicole Soghomonian Social Worker 5010 Merrill St, Torrance, CA 90503 2014-08-28
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Taxonomy Information

Taxonomy Code 261QD1600X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Developmental Disabilities

Taxonomy Definition

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Notes: [7/1/2003: new]

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1932644333 Torrance Dental Care Clinic/Center 3949 Artesia Blvd, Torrance, CA 90504-3210 2016-12-21
1114250040 Occupational and Hand Therapy Ctr Clinic/Center 1406 Crenshaw Blvd, Torrance, CA 90501 2009-09-10

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1265946586 California Sleep Neurology Organization for Wellness Clinic/Center 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 2017-11-22
1407374333 Social Skills Training and Resources Clinic/Center 157 Grand Ave Ste 205, Pacific Grove, CA 93950-2752 2017-08-30
1588047492 Autism Center of Northern California Clinic/Center 870 Market St Ste 472-476, San Francisco, CA 94102-3001 2015-07-09
1962806166 Rady Childrens Hospital-san Diego Clinic/Center 3665 Kearny Villa Rd Ste 440, San Diego, CA 92123-1953 2014-10-17
1356683015 Speechcom Incorporated Clinic/Center 2850 Artesia Blvd Ste 107, Redondo Beach, CA 90278-3412 2013-03-20
1619263266 Russo, Fleck & Associates Clinic/Center 960 W Town and Country Rd, Orange, CA 92868-4714 2011-06-22
1700117082 Blackwell Homes Clinic/Center 1646 S Wright Rd, Santa Rosa, CA 95407-7318 2010-01-26
1265761738 Tadpoles Therapy Services To You Inc Clinic/Center 10225 Barnes Canyon Rd Ste A210, San Diego, CA 92121-2734 2009-12-13
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Competitor

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City TORRANCE
Zip Code 90503

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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