| Foothill Family Service | |
|
13900 Foster Ave Baldwin Park CA 91706-4926 | |
| (626) 993-3000 | |
| (626) 993-3084 |
| Full Name | Foothill Family Service |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 13900 Foster 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 |
|---|---|
| Foothill Family Service 2500 E Foothill Blvd Ste 300 Pasadena CA 91107-7102 Ph: (626) 993-3000 | Foothill Family Service 13900 Foster Ave Baldwin Park CA 91706-4926 Ph: (626) 993-3000 |
| NPI Number | 1811464480 |
|---|---|
| Provider Enumeration Date | 10/31/2018 |
| Last Update Date | 09/05/2024 |
| Certification Date | 09/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811464480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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Foothill Family Service Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4245 Merced Ave, Baldwin Park, CA 91706 Phone: 626-993-3000 Fax: 626-993-3084 | |
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