| Clarvida | |
|
2717 Nugget Avenue Lake Isabella CA 93240 | |
| (760) 379-3412 | |
| (760) 379-5332 |
| Full Name | Clarvida |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2717 Nugget Avenue, Lake Isabella, California |
| Authorized Official Name and Position | Tracy Ginter (DIRECTOR OF STATE OPERATIONS) |
| Authorized Official Contact | 6574659497 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarvida 8337 Telegraph Rd Ste 300 Pico Rivera CA 90660-4957 Ph: (562) 467-5440 | Clarvida 2717 Nugget Avenue Lake Isabella CA 93240 Ph: (760) 379-3412 |
| NPI Number | 1104154533 |
|---|---|
| Provider Enumeration Date | 11/23/2009 |
| Last Update Date | 06/03/2024 |
| Certification Date | 06/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104154533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Clarvida Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2731 Nugget Ave, Box Po 2632, Lake Isabella, CA 93240 Phone: 760-379-3412 Fax: 760-379-5332 |