Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Withrow Out a Trace Ministyr

Organization Health Maintenance Organization · NPI 1235371352

Withrow Out a Trace Ministyr is a Health Maintenance Organization in Redondo Beach, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009

Practice location Address checks out

2110 Artesia Blvd
Redondo Beach, CA 90278-3073
Phone: (310) 569-5868
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Maintenance Organization (primary) Taxonomy 302R00000X · Licence RW2056 (CA)

Record details

NPI number1235371352
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vincent Dugan — Counselor · (213) 880-9242
NPI enumeratedApril 3, 2009
Last updated in NPPESApril 3, 2009
Mailing address4015 W 137th St, Hawthorne, CA 90250-7340

Other providers in Redondo Beach