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751 Vineland Ave Bassett CA 91746-1914 | |
(626) 931-2700 | |
Not Available |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 751 Vineland Ave, Bassett, 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 |
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Po Box 40255 Pasadena CA 91114-7255 Ph: (626) 296-8900 | 751 Vineland Ave Bassett CA 91746-1914 Ph: (626) 931-2700 |
NPI Number | 1881939247 |
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Provider Enumeration Date | 12/11/2012 |
Last Update Date | 02/01/2023 |
Certification Date | 02/01/2023 |
Identifier | Type | State | Issuer |
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1881939247 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (California) | Primary |