Mlsl, Incorporated | |
933 S Sunset Ave Suite 105 West Covina CA 91790-3410 | |
(626) 813-1222 | |
(626) 813-1221 |
Full Name | Mlsl, Incorporated |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 933 S Sunset Ave, West Covina, California |
Authorized Official Name and Position | Maria Lucila Sison Llanes (PRESIDENT) |
Authorized Official Contact | 6268131222 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mlsl, Incorporated 933 S Sunset Ave Suite 105 West Covina CA 91790-3410 Ph: (626) 813-1222 | Mlsl, Incorporated 933 S Sunset Ave Suite 105 West Covina CA 91790-3410 Ph: (626) 813-1222 |
NPI Number | 1013944313 |
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Provider Enumeration Date | 06/26/2006 |
Last Update Date | 03/21/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013944313 | NPI | - | NPPES |
00A800900 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | A80090 (California) | Primary |
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