One Stop Tay Center | |
780 E Gilbert St San Bernardino CA 92415 | |
(909) 387-7194 | |
Not Available |
Full Name | One Stop Tay Center |
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Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 780 E Gilbert St, San Bernardino, California |
Authorized Official Name and Position | Erica Ochoa (CHIEF COMPLIANCE OFFICER) |
Authorized Official Contact | 9093880882 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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One Stop Tay Center 303 E Vanderbilt Way San Bernardino CA 92415-0026 Ph: (909) 388-0801 | One Stop Tay Center 780 E Gilbert St San Bernardino CA 92415 Ph: (909) 387-7194 |
NPI Number | 1467658187 |
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Provider Enumeration Date | 06/21/2007 |
Last Update Date | 09/07/2022 |
Certification Date | 09/07/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467658187 | NPI | - | NPPES |
36DD | Other | CA | MEDI-CAL PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0855X | Clinic/center - Adolescent And Children Mental Health | ZZZ74743Z (California) | Primary |
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