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15363 Monterey Ave Chino Hills CA 91709-2754 | |
| (310) 383-7624 | |
| (909) 393-6622 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 15363 Monterey Ave, Chino Hills, California |
| Authorized Official Name and Position | Elsa Rogers (VP, CFO, CLINICAL DIR) |
| Authorized Official Contact | 3103837624 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
15363 Monterey Ave Chino Hills CA 91709-2754 Ph: (310) 383-7624 | 15363 Monterey Ave Chino Hills CA 91709-2754 Ph: (310) 383-7624 |
| NPI Number | 1487830279 |
|---|---|
| Provider Enumeration Date | 01/11/2008 |
| Last Update Date | 01/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487830279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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