| Ca Mentor | |
|
555 E Ocean Blvd Ste 330 Long Beach CA 90802-5052 | |
| (562) 424-1869 | |
| (562) 683-2686 |
| Full Name | Ca Mentor |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 555 E Ocean Blvd Ste 330, Long Beach, 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 555 E Ocean Blvd Ste 330 Long Beach CA 90802-5052 Ph: (562) 424-1869 |
| NPI Number | 1255714804 |
|---|---|
| Provider Enumeration Date | 07/01/2015 |
| Last Update Date | 05/07/2024 |
| Certification Date | 05/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255714804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (California) | Primary |
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