| California Iop Llc | |
|
1402 W Pico Ave Ste A50 El Centro CA 92243-1377 | |
| (866) 986-6217 | |
| Not Available |
| Full Name | California Iop Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1402 W Pico Ave Ste A50, El Centro, California |
| Authorized Official Name and Position | Danielle Bolduc (OPERATIONS) |
| Authorized Official Contact | 8669866217 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| California Iop Llc 1402 W Pico Ave Ste A50 El Centro CA 92243-1377 Ph: () - | California Iop Llc 1402 W Pico Ave Ste A50 El Centro CA 92243-1377 Ph: (866) 986-6217 |
| NPI Number | 1346089943 |
|---|---|
| Provider Enumeration Date | 05/22/2024 |
| Last Update Date | 05/22/2024 |
| Certification Date | 05/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346089943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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