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12631 Imperial Hwy C103 Santa Fe Springs CA 90670-4710 | |
| (909) 736-7361 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12631 Imperial Hwy, Santa Fe Springs, 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 |
|---|---|
9166 Anaheim Pl Ste 200 Rancho Cucamonga CA 91730-8547 Ph: (909) 736-7361 | 12631 Imperial Hwy C103 Santa Fe Springs CA 90670-4710 Ph: (909) 736-7361 |
| NPI Number | 1376995530 |
|---|---|
| Provider Enumeration Date | 07/11/2016 |
| Last Update Date | 05/07/2024 |
| Certification Date | 05/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376995530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (California) | Primary |
L.u.n.a. Recovery Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10400 Orr And Day Rd, Library, Santa Fe Springs, CA 90670 Phone: 562-698-8121 | |
Progressive Resources, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9280 Santa Fe Springs Rd, Santa Fe Springs, CA 90670 Phone: 562-665-1424 Fax: 562-946-3539 | |