| Operation Breakthrough | |
|
40880 Pedder Rd Big Bear Lake CA 92315-6445 | |
| (909) 866-5437 | |
| (909) 866-8555 |
| Full Name | Operation Breakthrough |
|---|---|
| Speciality | Health Maintenance Organization |
| Location | 40880 Pedder Rd, Big Bear Lake, California |
| Authorized Official Name and Position | Beverly Ary (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7603653022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Operation Breakthrough Po Box 6445 Big Bear Lake CA 92315-6445 Ph: (909) 866-5437 | Operation Breakthrough 40880 Pedder Rd Big Bear Lake CA 92315-6445 Ph: (909) 866-5437 |
| NPI Number | 1659562973 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 07/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659562973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 302R00000X | Health Maintenance Organization | 3601501120 (California) | Primary |
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