| Azusa High School | |
|
240 N Cerritos Ave Azusa CA 91702-3733 | |
| (626) 815-3400 | |
| Not Available |
| Full Name | Azusa High School |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 240 N Cerritos Ave, Azusa, California |
| Authorized Official Name and Position | Anil Vadaparty (CEO) |
| Authorized Official Contact | 9095991227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Azusa High School 762 Cypress St San Dimas CA 91773-3505 Ph: (909) 599-1227 | Azusa High School 240 N Cerritos Ave Azusa CA 91702-3733 Ph: (626) 815-3400 |
| NPI Number | 1376054999 |
|---|---|
| Provider Enumeration Date | 10/23/2017 |
| Last Update Date | 10/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376054999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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