California Pediatric & Family Services, Inc. | |
326 E Foothill Blvd Azusa CA 91702-2515 | |
(626) 812-0055 | |
(626) 334-1227 |
Full Name | California Pediatric & Family Services, Inc. |
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Speciality | Community/behavioral Health |
Location | 326 E Foothill Blvd, Azusa, California |
Authorized Official Name and Position | Garry Gerben Van Zee (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6268120055 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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California Pediatric & Family Services, Inc. 326 E Foothill Blvd Azusa CA 91702-2515 Ph: (626) 812-0055 | California Pediatric & Family Services, Inc. 326 E Foothill Blvd Azusa CA 91702-2515 Ph: (626) 812-0055 |
NPI Number | 1124342845 |
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Provider Enumeration Date | 03/24/2010 |
Last Update Date | 03/24/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124342845 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | PP6092 (California) | Primary |
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