| Masada | |
|
11850 Sebastian Way Ste 104 Rancho Cucamonga CA 91730-0703 | |
| (909) 476-9802 | |
| (909) 476-9807 |
| Full Name | Masada |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11850 Sebastian Way Ste 104, Rancho Cucamonga, California |
| Authorized Official Name and Position | Patricia Tindbaek (EXECUTIVE ADMINISTRATOR) |
| Authorized Official Contact | 3102619369 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Masada 108 W Victoria St Gardena CA 90248-3523 Ph: (310) 715-2020 | Masada 11850 Sebastian Way Ste 104 Rancho Cucamonga CA 91730-0703 Ph: (909) 476-9802 |
| NPI Number | 1548724313 |
|---|---|
| Provider Enumeration Date | 01/25/2019 |
| Last Update Date | 11/05/2024 |
| Certification Date | 11/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548724313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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