| Jc Corona Adhc | |
|
13627 Magnolia Ave Corona CA 92879-2038 | |
| (562) 708-6863 | |
| (951) 531-8043 |
| Full Name | Jc Corona Adhc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 13627 Magnolia Ave, Corona, California |
| Authorized Official Name and Position | Ramy Massoud (PRESIDENT/CEO) |
| Authorized Official Contact | 5627086863 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jc Corona Adhc 13877 Hollywood Ave Eastvale CA 92880-8822 Ph: (562) 708-6863 | Jc Corona Adhc 13627 Magnolia Ave Corona CA 92879-2038 Ph: (562) 708-6863 |
| NPI Number | 1477212520 |
|---|---|
| Provider Enumeration Date | 12/15/2021 |
| Last Update Date | 09/25/2024 |
| Certification Date | 09/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477212520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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