Sponderworks Childrens Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

2348 Issued in CA

Legal business name

SPONDERWORKS CHILDRENS SERVICES

Practice address

1520 S Western Ave
San Pedro, CA 90732-3602

Phone

(310) 521-0112

Fax

(310) 831-7291

NPI assigned

Aug 20, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. David Spnder, B.C.B.A; L.E.P.

Title

C.E.O.

Phone

(310) 521-0112

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1345420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345420800000",
    "number": "1366790537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 W 25TH ST STE 172",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907324415",
            "telephone_number": "310-521-0112",
            "fax_number": "310-831-7291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 S WESTERN AVE",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323602",
            "telephone_number": "310-521-0112",
            "fax_number": "310-831-7291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPONDERWORKS CHILDRENS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-20",
        "last_updated": "2012-08-20",
        "status": "A",
        "authorized_official_last_name": "SPNDER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "310-521-0112",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.C.B.A; L.E.P."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "2348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.