Core San Bernardino | |
2080 S E St Ste 250 San Bernardino CA 92408-2706 | |
(909) 383-1073 | |
(909) 383-1451 |
Full Name | Core San Bernardino |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 2080 S E St Ste 250, San Bernardino, California |
Authorized Official Name and Position | Leslie Davis (SVP, CFO) |
Authorized Official Contact | 5103377950 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Core San Bernardino 1080 Marina Village Pkwy Suite 100 Alameda CA 94501-6427 Ph: (510) 337-7950 | Core San Bernardino 2080 S E St Ste 250 San Bernardino CA 92408-2706 Ph: (909) 383-1073 |
NPI Number | 1609101344 |
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Provider Enumeration Date | 10/14/2009 |
Last Update Date | 02/10/2021 |
Certification Date | 02/10/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609101344 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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