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131 W Willow St Pomona CA 91768-1829 | |
| (909) 576-5444 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 131 W Willow St, Pomona, California |
| Authorized Official Name and Position | Ana I Pleitez (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 9095765444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
131 W Willow St Pomona CA 91768-1829 Ph: (909) 576-5444 | 131 W Willow St Pomona CA 91768-1829 Ph: (909) 576-5444 |
| NPI Number | 1255806717 |
|---|---|
| Provider Enumeration Date | 10/10/2018 |
| Last Update Date | 09/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255806717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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