| Asian Youth Center | |
|
100 Clary Ave San Gabriel CA 91776-1374 | |
| (626) 309-0425 | |
| (626) 309-0717 |
| Full Name | Asian Youth Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 100 Clary Ave, San Gabriel, California |
| Authorized Official Name and Position | May To (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6263090425 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Asian Youth Center 323 West Clary Ave San Gabriel CA 91776 Ph: (626) 309-0425 | Asian Youth Center 100 Clary Ave San Gabriel CA 91776-1374 Ph: (626) 309-0425 |
| NPI Number | 1740301233 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740301233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 064319 (California) | Primary |
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