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10953 Ramona Blvd El Monte CA 91731-2629 | |
| (213) 738-3111 | |
| (213) 351-2493 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 10953 Ramona Blvd, El Monte, California |
| Authorized Official Name and Position | Lisa H. Wong (ACTING DIRECTOR) |
| Authorized Official Contact | 2137384601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
510 S Vermont Ave Los Angeles CA 90020-1992 Ph: (213) 738-4601 | 10953 Ramona Blvd El Monte CA 91731-2629 Ph: (213) 738-3111 |
| NPI Number | 1124321161 |
|---|---|
| Provider Enumeration Date | 12/14/2010 |
| Last Update Date | 08/10/2022 |
| Certification Date | 08/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124321161 | NPI | - | NPPES |
| 7801 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Hacc Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3300 Gilman Rd, El Monte, CA 91732 Phone: 310-831-0331 | |
Hacc Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12460 Fineview St, El Monte, CA 91732 Phone: 310-831-0331 | |