| Children's Bureau Of Southern California Lancaster Dt | |
|
921-c Avenue J Lancaster CA 93534-3443 | |
| (661) 949-0131 | |
| (661) 729-8912 |
| Full Name | Children's Bureau Of Southern California Lancaster Dt |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 921-c Avenue J, Lancaster, California |
| Authorized Official Name and Position | Leticia H Juarez (QA ADMINISTRATIVE MANAGER) |
| Authorized Official Contact | 2133420150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Bureau Of Southern California Lancaster Dt 921-c Avenue J Lancaster CA 93534-3443 Ph: (661) 949-0131 | Children's Bureau Of Southern California Lancaster Dt 921-c Avenue J Lancaster CA 93534-3443 Ph: (661) 949-0131 |
| NPI Number | 1548396161 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 11/15/2023 |
| Certification Date | 11/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548396161 | NPI | - | NPPES |
| 00668 | Other | CA | DMH LEGAL ENTITY NUMBER |
| 7473D | Other | CA | DMH REPORTING UNIT |
| 7473A | Other | CA | DMH REPORTING UNIT |
| 00007473 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (California) | Primary |
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