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Contact Information

LIFEWAY-GAMBURD LLC
12405 MONTAGUE ST
PACOIMA, CA91331-2122
 Phone: 310-861-7476
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Environmental Modification

225XE0001X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for LIFEWAY-GAMBURD LLC

NPI # 1215615646
LBN Legal business name LIFEWAY-GAMBURD LLC
Authorized official BRIAN BURFIELD - (GENERAL COUNCIL)
Entity Organization
Organization subpart 1 No
Enumeration date 07/06/2023
Last updated 07/06/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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