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535 N Brand Blvd Ste 350 Glendale CA 91203-3952 | |
| (714) 828-1800 | |
| (714) 882-1186 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 535 N Brand Blvd Ste 350, Glendale, California |
| Authorized Official Name and Position | Magdalen Gustilo (DIRECTOR OF PAYER RELATIONS) |
| Authorized Official Contact | 7145687667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
18401 Von Karman Ave Ste 500 Irvine CA 92612-8531 Ph: (714) 828-1800 | 535 N Brand Blvd Ste 350 Glendale CA 91203-3952 Ph: (714) 828-1800 |
| NPI Number | 1841776226 |
|---|---|
| Provider Enumeration Date | 07/18/2018 |
| Last Update Date | 03/26/2024 |
| Certification Date | 03/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841776226 | NPI | - | NPPES |
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