| Pacific Autism Learning Services, Inc | |
|
1710 S Amphlett Blvd Ste 314 San Mateo CA 94402-2703 | |
| (650) 242-0179 | |
| (650) 242-8202 |
| Full Name | Pacific Autism Learning Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1710 S Amphlett Blvd, San Mateo, California |
| Authorized Official Name and Position | Gregory Buch (OWNER/DIRECTOR) |
| Authorized Official Contact | 9166760488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Autism Learning Services, Inc 1328 Blue Oaks Blvd Suite 180 Roseville CA 95678-7031 Ph: (916) 676-0488 | Pacific Autism Learning Services, Inc 1710 S Amphlett Blvd Ste 314 San Mateo CA 94402-2703 Ph: (650) 242-0179 |
| NPI Number | 1336435734 |
|---|---|
| Provider Enumeration Date | 06/23/2011 |
| Last Update Date | 06/23/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336435734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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