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TITO V DURAN AND JOSEFINA D DURAN

Nursing Yellow Pages

Gardena, California

Provider NPI: 1073724993

Organization Information:
Organization Name:  TITO V DURAN AND JOSEFINA D DURAN


Practice Location:
1117 W 164TH ST  GARDENA, CA 90247 US
Tel: 310-217-0437  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
CA960000990

Other Provider Identifiers:

IssuerNumberStateType
MEDICALLTC60786FCA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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