Golden State Neuroplastics | |
757 Ridgeside Dr Monrovia CA 91016-1721 | |
(213) 260-0605 | |
(888) 789-9773 |
Full Name | Golden State Neuroplastics |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 757 Ridgeside Dr, Monrovia, California |
Authorized Official Name and Position | Christopher Bartlett Franklin (CEO) |
Authorized Official Contact | 3108636199 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Golden State Neuroplastics 1910 West Farlington West Covina CA 91790 Ph: (310) 863-6199 | Golden State Neuroplastics 757 Ridgeside Dr Monrovia CA 91016-1721 Ph: (213) 260-0605 |
NPI Number | 1417332545 |
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Provider Enumeration Date | 07/30/2015 |
Last Update Date | 09/12/2024 |
Certification Date | 09/06/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417332545 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | PSY24447 (California) | Primary |
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