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 |
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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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