Masonic Homes Of California | |
1650 E Old Badillo St Covina CA 91724-3163 | |
(626) 251-2200 | |
Not Available |
Full Name | Masonic Homes Of California |
---|---|
Speciality | Community/behavioral Health |
Location | 1650 E Old Badillo St, Covina, California |
Authorized Official Name and Position | Anna Millich (ASSOCIATE GENERAL COUNSEL) |
Authorized Official Contact | 4159293001 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Masonic Homes Of California 1650 E Old Badillo St Covina CA 91724-3163 Ph: (626) 251-2200 | Masonic Homes Of California 1650 E Old Badillo St Covina CA 91724-3163 Ph: (626) 251-2200 |
NPI Number | 1295388106 |
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Provider Enumeration Date | 07/19/2019 |
Last Update Date | 07/19/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295388106 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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