| College Health Ipa | |
|
17100 Pioneer Blvd Suite 420 Cerritos CA 90701-2754 | |
| (562) 467-5419 | |
| (562) 467-5400 |
| Full Name | College Health Ipa |
|---|---|
| Speciality | Counselor |
| Location | 17100 Pioneer Blvd, Cerritos, California |
| Authorized Official Name and Position | Randy Davis (PRESIDENT AND CEO) |
| Authorized Official Contact | 5624675530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| College Health Ipa 17100 Pioneer Blvd Suite 420 Cerritos CA 90701-2754 Ph: (562) 467-5419 | College Health Ipa 17100 Pioneer Blvd Suite 420 Cerritos CA 90701-2754 Ph: (562) 467-5419 |
| NPI Number | 1326198847 |
|---|---|
| Provider Enumeration Date | 01/10/2007 |
| Last Update Date | 09/06/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326198847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
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