| Lassen Aurora Network | |
|
815 Cottage St Susanville CA 96130-4401 | |
| (530) 257-3864 | |
| Not Available |
| Full Name | Lassen Aurora Network |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 815 Cottage St, Susanville, California |
| Authorized Official Name and Position | Kam Vento (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5302573864 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lassen Aurora Network 815 Cottage St Susanville CA 96130-4401 Ph: (530) 257-3864 | Lassen Aurora Network 815 Cottage St Susanville CA 96130-4401 Ph: (530) 257-3864 |
| NPI Number | 1366920233 |
|---|---|
| Provider Enumeration Date | 08/02/2018 |
| Last Update Date | 08/02/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366920233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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