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1907 Boys Republic Dr Chino Hills CA 91709-5447 | |
| (909) 628-1217 | |
| (909) 627-4129 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 1907 Boys Republic Dr, Chino Hills, California |
| Authorized Official Name and Position | Joseph Guadalupe Marquez (CEO) |
| Authorized Official Contact | 5628330496 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
11351 Baskerville Rd Rossmoor CA 90720-2927 Ph: (562) 430-3086 | 1907 Boys Republic Dr Chino Hills CA 91709-5447 Ph: (909) 628-1217 |
| NPI Number | 1962755900 |
|---|---|
| Provider Enumeration Date | 10/15/2012 |
| Last Update Date | 10/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962755900 | NPI | - | NPPES |
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Boys Republic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1907 Boys Republic Dr, Chino Hills, CA 91709 Phone: 909-628-1217 Fax: 909-306-5427 | |
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Boys Republic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1907 Boys Republic Dr, Chino Hills, CA 91709 Phone: 909-628-1217 Fax: 909-306-5427 | |