| Los Padrinos Juv Hall Mh Unit | |
|
7285 East Quill Drive Downey CA 90242-2001 | |
| (323) 226-8826 | |
| (562) 381-8538 |
| Full Name | Los Padrinos Juv Hall Mh Unit |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7285 East Quill Drive, Downey, California |
| Authorized Official Name and Position | Lisa H Wong (DIRECTOR) |
| Authorized Official Contact | 2139476670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Los Padrinos Juv Hall Mh Unit 510 S Vermont Ave Los Angeles CA 90020-1912 Ph: (213) 947-6670 | Los Padrinos Juv Hall Mh Unit 7285 East Quill Drive Downey CA 90242-2001 Ph: (323) 226-8826 |
| NPI Number | 1770507105 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 07/27/2023 |
| Certification Date | 07/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770507105 | NPI | - | NPPES |
| 7166 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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