| Clarvida | |
|
16940 Highway 14 Ste C-j Mojave CA 93501-1238 | |
| (661) 824-5020 | |
| (661) 824-5026 |
| Full Name | Clarvida |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 16940 Highway 14 Ste C-j, Mojave, 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 16940 Highway 14 Ste C-j Mojave CA 93501-1238 Ph: (661) 824-5020 |
| NPI Number | 1013122514 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 06/03/2024 |
| Certification Date | 06/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013122514 | NPI | - | NPPES |
| 1539 | Medicaid | CA | |
| 15AK | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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