| Bienvenidos Village | |
|
13001 Ramona Blvd. Suite A Irwindale CA 91706-3752 | |
| (323) 274-3075 | |
| (626) 798-7899 |
| Full Name | Bienvenidos Village |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 13001 Ramona Blvd., Irwindale, California |
| Authorized Official Name and Position | Stacey Roth (CEO) |
| Authorized Official Contact | 3232542274 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bienvenidos Village 13001 Ramona Blvd. Suite A Irwindale CA 91706-3752 Ph: (626) 373-2900 | Bienvenidos Village 13001 Ramona Blvd. Suite A Irwindale CA 91706-3752 Ph: (323) 274-3075 |
| NPI Number | 1083158810 |
|---|---|
| Provider Enumeration Date | 12/13/2016 |
| Last Update Date | 02/07/2023 |
| Certification Date | 02/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083158810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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