| El Dorado -palmdale | |
|
2720 E Palmdale Blvd Ste 129-131 Palmdale CA 93550 | |
| (661) 947-3333 | |
| (661) 575-2397 |
| Full Name | El Dorado -palmdale |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2720 E Palmdale Blvd Ste 129-131, Palmdale, California |
| Authorized Official Name and Position | Seanjay Sharma (PRESIDENT / CEO) |
| Authorized Official Contact | 6612546630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| El Dorado -palmdale 26460 Summit Circle Santa Clarita CA 91350-2991 Ph: (661) 254-6630 | El Dorado -palmdale 2720 E Palmdale Blvd Ste 129-131 Palmdale CA 93550 Ph: (661) 947-3333 |
| NPI Number | 1104256601 |
|---|---|
| Provider Enumeration Date | 11/19/2013 |
| Last Update Date | 05/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104256601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 960001031 (California) | Primary |
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