| Amada Aba Llc | |
|
2999 Kendall Dr Ste 204 San Bernardino CA 92407-2436 | |
| (626) 873-0560 | |
| Not Available |
| Full Name | Amada Aba Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2999 Kendall Dr Ste 204, San Bernardino, California |
| Authorized Official Name and Position | Catherine Maldonado (OWNER) |
| Authorized Official Contact | 6268730560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amada Aba Llc 8282 Malachite Ave Rancho Cucamonga CA 91730-3540 Ph: (626) 873-0560 | Amada Aba Llc 2999 Kendall Dr Ste 204 San Bernardino CA 92407-2436 Ph: (626) 873-0560 |
| NPI Number | 1457067654 |
|---|---|
| Provider Enumeration Date | 01/31/2023 |
| Last Update Date | 01/31/2023 |
| Certification Date | 01/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457067654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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