| Maryvale Community Based Services | |
|
7600 E. Graves Ave Rosemead CA 91770-3414 | |
| (626) 263-9133 | |
| (626) 359-4285 |
| Full Name | Maryvale Community Based Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7600 E. Graves Ave, Rosemead, California |
| Authorized Official Name and Position | Michelle Lynn Culver (DIRECTOR OF COMMUNITY BASED) |
| Authorized Official Contact | 6262639133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maryvale Community Based Services 7600 E. Graves Ave Rosemead CA 91770-3414 Ph: (626) 280-6510 | Maryvale Community Based Services 7600 E. Graves Ave Rosemead CA 91770-3414 Ph: (626) 263-9133 |
| NPI Number | 1568159911 |
|---|---|
| Provider Enumeration Date | 04/18/2023 |
| Last Update Date | 05/05/2023 |
| Certification Date | 05/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568159911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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