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2248 Obispo Ave Suite 202 Signal Hill CA 90755-4026 | |
| (213) 550-2634 | |
| (562) 495-7137 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2248 Obispo Ave, Signal Hill, California |
| Authorized Official Name and Position | Jessica Borelli (PROGRAM MANAGER) |
| Authorized Official Contact | 2095761750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2248 Obispo Ave Suite 202 Signal Hill CA 90755-4026 Ph: (310) 535-1500 | 2248 Obispo Ave Suite 202 Signal Hill CA 90755-4026 Ph: (213) 550-2634 |
| NPI Number | 1881143154 |
|---|---|
| Provider Enumeration Date | 09/28/2016 |
| Last Update Date | 01/19/2023 |
| Certification Date | 01/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881143154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 197804590 (California) | Primary |
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