| La Voz De La Esparanza | |
|
14092 Lakeshore Dr Clearlake CA 95422-8160 | |
| (707) 994-4261 | |
| Not Available |
| Full Name | La Voz De La Esparanza |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 14092 Lakeshore Dr, Clearlake, California |
| Authorized Official Name and Position | Elise Jones Ma (DIRECTOR) |
| Authorized Official Contact | 7072749101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Voz De La Esparanza Po Box 1024 Lucerne CA 95458-1024 Ph: (707) 994-4261 | La Voz De La Esparanza 14092 Lakeshore Dr Clearlake CA 95422-8160 Ph: (707) 994-4261 |
| NPI Number | 1356181127 |
|---|---|
| Provider Enumeration Date | 05/29/2024 |
| Last Update Date | 08/26/2024 |
| Certification Date | 08/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356181127 | NPI | - | NPPES |
| 17E1 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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