| California Institue For Men | |
|
14901 Central Ave Chino CA 91710-9500 | |
| (909) 597-1821 | |
| (909) 606-4332 |
| Full Name | California Institue For Men |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 14901 Central Ave, Chino, California |
| Authorized Official Name and Position | Kerim Bangou (PHARMACIST INCHARGE) |
| Authorized Official Contact | 9095971821 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| California Institue For Men 14901 Central Ave Chino CA 91710-9500 Ph: (909) 597-1821 | California Institue For Men 14901 Central Ave Chino CA 91710-9500 Ph: (909) 597-1821 |
| NPI Number | 1346667268 |
|---|---|
| Provider Enumeration Date | 03/28/2014 |
| Last Update Date | 03/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346667268 | NPI | - | NPPES |
| 44274 | Other | CA | PHARMACIST LICENCE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 44274 (California) | Primary |
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