Bridges, Inc. | |
279 E Arrow Hwy Ste 102 San Dimas CA 91773 | |
(909) 623-6651 | |
(909) 623-0455 |
Full Name | Bridges, Inc. |
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Speciality | Community/Behavioral Health |
Location | 279 E Arrow Hwy Ste 102, San Dimas, California |
Authorized Official Name and Position | Lori Pendroff (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 9096236651 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bridges, Inc. 279 E Arrow Hwy Ste 102 San Dimas CA 91773-3320 Ph: (909) 623-6651 | Bridges, Inc. 279 E Arrow Hwy Ste 102 San Dimas CA 91773 Ph: (909) 623-6651 |
NPI Number | 1881895415 |
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Provider Enumeration Date | 05/30/2007 |
Last Update Date | 03/03/2022 |
Certification Date | 03/03/2022 |
Medicare PECOS PAC ID | 5597944140 |
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Medicare Enrollment ID | O20110127001039 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881895415 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Daniel Son |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1891915146 PECOS PAC ID: 1153543780 Enrollment ID: I20141113002098 |
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