| Hillsides Frc Esgv | |
|
13001 Ramona Blvd Suite A. Irwindale CA 91706-3752 | |
| (626) 373-2900 | |
| Not Available |
| Full Name | Hillsides Frc Esgv |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 13001 Ramona Blvd, Irwindale, California |
| Authorized Official Name and Position | Stacey Roth (CEO) |
| Authorized Official Contact | 3232542274 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hillsides Frc Esgv 13001 Ramona Blvd Suite A. Irwindale CA 91706-3752 Ph: (626) 373-2900 | Hillsides Frc Esgv 13001 Ramona Blvd Suite A. Irwindale CA 91706-3752 Ph: (626) 373-2900 |
| NPI Number | 1700126687 |
|---|---|
| Provider Enumeration Date | 02/28/2013 |
| Last Update Date | 01/05/2021 |
| Certification Date | 01/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700126687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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