| Cordilleras Mental Health Center | |
|
200 Edmonds Rd Redwood City CA 94062-3813 | |
| (650) 367-1890 | |
| Not Available |
| Full Name | Cordilleras Mental Health Center |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 200 Edmonds Rd, Redwood City, California |
| Authorized Official Name and Position | Nelia Lastimosa (DIRECTOR OF NURSING) |
| Authorized Official Contact | 5104556334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cordilleras Mental Health Center 1185 Hillcrest Blvd Millbrae CA 94030-2234 Ph: (650) 445-3113 | Cordilleras Mental Health Center 200 Edmonds Rd Redwood City CA 94062-3813 Ph: (650) 367-1890 |
| NPI Number | 1063123669 |
|---|---|
| Provider Enumeration Date | 12/06/2022 |
| Last Update Date | 12/06/2022 |
| Certification Date | 11/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063123669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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Cordilleras Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Edmonds Rd, Redwood City, CA 94062 Phone: 650-367-1890 |