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Acute Care — NPI 1639632763, El Segundo, CA | NPI Central

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NPI 1639632763

OrganizationActive

Acute Care

NPI 1639632763 · Health Service Clinic/Center · El Segundo, CA

Provider details

NPI number: 1639632763
Entity type: Organization
Primary specialty: Health Service Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Raven Mayes, Doctor of Optometry(352) 792-8069

Specialties & taxonomies

Health Service Clinic/CenterPrimary261QH0100X
Ambulatory Health Care Facilities
Counselor101Y00000X
Behavioral Health & Social Service Providers

Practice location

2275 E Mariposa Ave

El Segundo, CA 90245-5029

Phone: (310) 426-6000

Approximate (ZIP-level) locationGet directions

More CA providers

Mailing address

2275 E Mariposa Ave

El Segundo, CA 90245-5029

Other names (DBA / former)

Other name: Ms.
Other name: Ms.

Additional practice locations (1)

19029 Se Hawthorne Rd
Hawthorne, FL 32640-7013
Phone: (352) 792-8069

Registry dates

Enumerated: 2019-04-06
Last updated: 2021-04-16
Certified: 2021-04-16

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.