| Devine Mines,llc | |
|
6 Centerpointe Dr La Palma CA 90623-2503 | |
| (562) 477-0794 | |
| Not Available |
| Full Name | Devine Mines,llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6 Centerpointe Dr, La Palma, California |
| Authorized Official Name and Position | Kimetria Hawkins (MANAGER) |
| Authorized Official Contact | 5624770794 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Devine Mines,llc 16726 Alburtis Ave Artesia CA 90701-1709 Ph: (562) 477-0794 | Devine Mines,llc 6 Centerpointe Dr La Palma CA 90623-2503 Ph: (562) 477-0794 |
| NPI Number | 1821599291 |
|---|---|
| Provider Enumeration Date | 02/21/2018 |
| Last Update Date | 02/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821599291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (California) | Primary |
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