San Pedro Healing Arts Medical Clinic INC
NPI #1538549563 in Lake Forest, California
Provider Information
- NPI Number
- 1538549563
- Entity Type
- Organization
- Organization Name
- San Pedro Healing Arts Medical Clinic INC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Jun 4, 2015
- Last Updated
- Jun 4, 2015
Practice Location
- Address
- 22706 ASPAN ST
- Address 2
- SUITE 702
- City
- Lake Forest
- State
- California
- ZIP Code
- 92630-1603
- Phone
- (949) 427-1013
Authorized Official
- Name
- STEPHANIE FIAMENGO, LMFT
- Title
- EXECUTIVE DIRECTOR
- Phone
- (310) 547-2197
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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