| Maryvale | |
|
2502 E Huntington Dr Duarte CA 91010 | |
| (626) 357-1514 | |
| (626) 359-4285 |
| Full Name | Maryvale |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2502 E Huntington Dr, Duarte, California |
| Authorized Official Name and Position | Michelle Lynn Culver (SENIOR 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 2502 E Huntington Dr Duarte CA 91010-2221 Ph: (626) 357-1514 | Maryvale 2502 E Huntington Dr Duarte CA 91010 Ph: (626) 357-1514 |
| NPI Number | 1831489681 |
|---|---|
| Provider Enumeration Date | 04/13/2011 |
| Last Update Date | 05/05/2023 |
| Certification Date | 05/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831489681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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