| Childrens Bureau Carson | |
|
460 E Carson Plaza Dr Suite 102 Carson CA 90746-3228 | |
| (310) 523-9500 | |
| Not Available |
| Full Name | Childrens Bureau Carson |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 460 E Carson Plaza Dr, Carson, California |
| Authorized Official Name and Position | Alex Morales (CEO) |
| Authorized Official Contact | 3239537350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Childrens Bureau Carson 460 E Carson Plaza Dr Suite 102 Carson CA 90746-3228 Ph: (310) 523-9500 | Childrens Bureau Carson 460 E Carson Plaza Dr Suite 102 Carson CA 90746-3228 Ph: (310) 523-9500 |
| NPI Number | 1417083049 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 06/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417083049 | NPI | - | NPPES |
| 7570A | Other | CA | DMH REPORTING UNIT |
| 00007570 | Medicaid | CA | |
| 00668 | Other | CA | DMH LEGAL ENITITY NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (California) | Primary |
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