| Ca Mentor | |
|
801 W San Bernardino Rd Covina CA 91722-3621 | |
| (626) 541-0120 | |
| Not Available |
| Full Name | Ca Mentor |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 801 W San Bernardino Rd, Covina, 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 801 W San Bernardino Rd Covina CA 91722-3621 Ph: (626) 541-0120 |
| NPI Number | 1992188544 |
|---|---|
| Provider Enumeration Date | 07/01/2015 |
| Last Update Date | 05/07/2024 |
| Certification Date | 05/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992188544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (California) | Primary |
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