Foothill Family Service | |
4245 Merced Ave Baldwin Park CA 91706-2960 | |
(626) 993-3000 | |
(626) 993-3084 |
Full Name | Foothill Family Service |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 4245 Merced Ave, Baldwin Park, California |
Authorized Official Name and Position | James Siegrist (CFO) |
Authorized Official Contact | 6269933003 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Foothill Family Service 2500 E Foothill Blvd Ste 300 Pasadena CA 91107-7102 Ph: (626) 993-3000 | Foothill Family Service 4245 Merced Ave Baldwin Park CA 91706-2960 Ph: (626) 993-3000 |
NPI Number | 1215404827 |
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Provider Enumeration Date | 11/01/2018 |
Last Update Date | 09/05/2024 |
Certification Date | 09/05/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215404827 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |