Life Focus Center, Inc. | |
2211 S Hacienda Blvd Ste 103c Hacienda Heights CA 91745-4642 | |
(626) 330-7990 | |
(877) 894-5104 |
Full Name | Life Focus Center, Inc. |
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Speciality | Social Worker |
Location | 2211 S Hacienda Blvd Ste 103c, Hacienda Heights, California |
Authorized Official Name and Position | Elaine Kindle (OWNER) |
Authorized Official Contact | 6263307990 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Life Focus Center, Inc. 2211 S Hacienda Blvd Ste 103c Hacienda Heights CA 91745-4642 Ph: (626) 330-7990 | Life Focus Center, Inc. 2211 S Hacienda Blvd Ste 103c Hacienda Heights CA 91745-4642 Ph: (626) 330-7990 |
NPI Number | 1437641909 |
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Provider Enumeration Date | 05/31/2018 |
Last Update Date | 05/31/2018 |
Medicare PECOS PAC ID | 8820338338 |
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Medicare Enrollment ID | O20190320001420 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437641909 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | LL9096 (California) | Primary |
Provider Name | Elaine Kindle |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1760413710 PECOS PAC ID: 5395909584 Enrollment ID: I20120620000315 |
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