| Dfys Beardslee Acad | |
|
1212 Kellwill Way Duarte CA 91010-3322 | |
| (626) 296-8900 | |
| Not Available |
| Full Name | Dfys Beardslee Acad |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1212 Kellwill Way, Duarte, California |
| Authorized Official Name and Position | Zerri Gross (QA/QI SUPERVISOR) |
| Authorized Official Contact | 6262968900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dfys Beardslee Acad 2750 E Washington Blvd Ste 230 Pasadena CA 91107-1449 Ph: (626) 296-8900 | Dfys Beardslee Acad 1212 Kellwill Way Duarte CA 91010-3322 Ph: (626) 296-8900 |
| NPI Number | 1588212013 |
|---|---|
| Provider Enumeration Date | 08/28/2019 |
| Last Update Date | 03/02/2020 |
| Certification Date | 03/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588212013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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