|
| |
|
900 E. Gilbert Street Mobile A San Bernardino CA 92404 | |
| (909) 382-3080 | |
| (909) 382-3105 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 900 E. Gilbert Street, San Bernardino, California |
| Authorized Official Name and Position | Erica Ochoa (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Contact | 9093880882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
755 E Gilbert St San Bernardino CA 92404-5413 Ph: (909) 387-7792 | 900 E. Gilbert Street Mobile A San Bernardino CA 92404 Ph: (909) 382-3080 |
| NPI Number | 1679782759 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 05/09/2023 |
| Certification Date | 05/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679782759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | ZZZ74743Z (California) | Primary |
Cynthia J Soto Md Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 399 E Highland Ave Ste 223, San Bernardino, CA 92404 Phone: 909-475-5200 | |
Youth Hope Licensed Clinical Social Worker Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 N D St Ste 400, San Bernardino, CA 92401 Phone: 909-567-2808 | |
Beyond Wellness Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2150 N Waterman Ave Ste 101, San Bernardino, CA 92404 Phone: 833-759-8720 | |