| Kidango | |
|
44000 Old Warm Springs Blvd Fremont CA 94538-6145 | |
| (510) 897-6900 | |
| Not Available |
| Full Name | Kidango |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 44000 Old Warm Springs Blvd, Fremont, California |
| Authorized Official Name and Position | Lilian Patricia Zelaya (MENTAL HEALTH CLINICIAN) |
| Authorized Official Contact | 7079219232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidango 44000 Old Warm Springs Blvd Fremont CA 94538-6145 Ph: () - | Kidango 44000 Old Warm Springs Blvd Fremont CA 94538-6145 Ph: (510) 897-6900 |
| NPI Number | 1679864185 |
|---|---|
| Provider Enumeration Date | 05/02/2011 |
| Last Update Date | 05/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679864185 | NPI | - | NPPES |
| 30172 | Other | CA | BOARD OF BEHAVIORAL SCIENCES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 30172 (California) | Primary |
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