Pacific Clinics Central Valley Clubhouse | |
1501 S Riverside Ave Rialto CA 92376-7725 | |
(909) 877-4889 | |
(909) 877-4898 |
Full Name | Pacific Clinics Central Valley Clubhouse |
---|---|
Speciality | Community/behavioral Health |
Location | 1501 S Riverside Ave, Rialto, California |
Authorized Official Name and Position | Susan Mandel (PRESIDENT CEO) |
Authorized Official Contact | 6262545000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pacific Clinics Central Valley Clubhouse 800 S Santa Anita Ave Arcadia CA 91006-6853 Ph: (626) 254-5000 | Pacific Clinics Central Valley Clubhouse 1501 S Riverside Ave Rialto CA 92376-7725 Ph: (909) 877-4889 |
NPI Number | 1215063532 |
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Provider Enumeration Date | 02/23/2007 |
Last Update Date | 09/26/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215063532 | NPI | - | NPPES |
0000036BW | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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