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337 N Vineyard Ave Ste 400 Ontario CA 91764-4436 | |
| (909) 544-9322 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 337 N Vineyard Ave Ste 400, Ontario, California |
| Authorized Official Name and Position | Ashley Marie Saldana (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 9095449322 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
337 N Vineyard Ave Ste 400 Ontario CA 91764-4436 Ph: (909) 544-9322 | 337 N Vineyard Ave Ste 400 Ontario CA 91764-4436 Ph: (909) 544-9322 |
| NPI Number | 1083382899 |
|---|---|
| Provider Enumeration Date | 09/06/2021 |
| Last Update Date | 09/23/2024 |
| Certification Date | 09/23/2024 |
| Medicare PECOS PAC ID | 8224560909 |
|---|---|
| Medicare Enrollment ID | O20241018002573 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083382899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Ashley M Saldana |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871061291 PECOS PAC ID: 9133651813 Enrollment ID: I20241018002698 |
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