Provider Demographics
NPI:1538333646
Name:START VIEW COMMUNITY SERVICE
Entity Type:Organization
Organization Name:START VIEW COMMUNITY SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:CAVUOTI
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:310-868-5379
Mailing Address - Street 1:2102 W 157TH ST APT 6
Mailing Address - Street 2:
Mailing Address - City:GARDENA
Mailing Address - State:CA
Mailing Address - Zip Code:90249-4756
Mailing Address - Country:US
Mailing Address - Phone:310-329-7758
Mailing Address - Fax:
Practice Address - Street 1:1085 W VICTORIA ST
Practice Address - Street 2:
Practice Address - City:COMPTON
Practice Address - State:CA
Practice Address - Zip Code:90220-5804
Practice Address - Country:US
Practice Address - Phone:310-868-5379
Practice Address - Fax:310-868-5398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-18
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service