| D'veal F & Y Wrap | |
|
2750 E. Washington Blvd #230, 240, 250, 260 Pasadena CA 91107-1448 | |
| (626) 296-8900 | |
| (626) 296-8900 |
| Full Name | D'veal F & Y Wrap |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2750 E. Washington Blvd, Pasadena, California |
| Authorized Official Name and Position | John T Mccall (CEO) |
| Authorized Official Contact | 6267943136 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| D'veal F & Y Wrap 2750 E Washington Blvd # 240250 Pasadena CA 91107-1448 Ph: (626) 296-8900 | D'veal F & Y Wrap 2750 E. Washington Blvd #230, 240, 250, 260 Pasadena CA 91107-1448 Ph: (626) 296-8900 |
| NPI Number | 1134356694 |
|---|---|
| Provider Enumeration Date | 06/11/2009 |
| Last Update Date | 04/14/2022 |
| Certification Date | 04/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134356694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LCS11363 (California) | Primary |
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