| Foothill Family Service | |
|
535 Dora Guzman Ave La Puente CA 91744-5601 | |
| (626) 993-3000 | |
| (626) 993-3084 |
| Full Name | Foothill Family Service |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 535 Dora Guzman Ave, La Puente, 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 535 Dora Guzman Ave La Puente CA 91744-5601 Ph: (626) 993-3000 |
| NPI Number | 1841767415 |
|---|---|
| Provider Enumeration Date | 10/31/2018 |
| Last Update Date | 02/24/2020 |
| Certification Date | 02/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841767415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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