| Ca Mentor | |
|
1000 S Fremont Ave Bldg A-10 Suite 10350, Unit 98 Alhambra CA 91803-8857 | |
| (626) 607-0202 | |
| (626) 607-0203 |
| Full Name | Ca Mentor |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1000 S Fremont Ave Bldg A-10, Alhambra, California |
| Authorized Official Name and Position | Mary Patricia Rodenberg-roberts (VP & SR ASST GENERAL COUNSEL) |
| Authorized Official Contact | 9528362234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ca Mentor 9166 Anaheim Pl Suite 200 Rancho Cucamonga CA 91730-8547 Ph: (909) 483-2505 | Ca Mentor 1000 S Fremont Ave Bldg A-10 Suite 10350, Unit 98 Alhambra CA 91803-8857 Ph: (626) 607-0202 |
| NPI Number | 1114340429 |
|---|---|
| Provider Enumeration Date | 01/23/2014 |
| Last Update Date | 05/08/2024 |
| Certification Date | 05/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114340429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (California) | Primary |
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