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11500 Eldridge Ave Ste 204 Lake View Terrace CA 91342-6523 | |
(626) 395-7100 | |
Not Available |
Full Name | |
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Speciality | Counselor - Mental Health |
Location | 11500 Eldridge Ave, Lake View Terrace, California |
Authorized Official Name and Position | Debbie Manners (EXECUTIVE VP PROGRAMS) |
Authorized Official Contact | 6263957100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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840 N Avenue 66 Ste 110 Los Angeles CA 90042-1508 Ph: () - | 11500 Eldridge Ave Ste 204 Lake View Terrace CA 91342-6523 Ph: (626) 395-7100 |
NPI Number | 1518163294 |
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Provider Enumeration Date | 06/21/2007 |
Last Update Date | 03/31/2023 |
Certification Date | 03/31/2023 |
Identifier | Type | State | Issuer |
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1518163294 | NPI | - | NPPES |