Pacific Clinics Coronado Alternative School | |
1500 E Francisquito Ave West Covina CA 91791-3823 | |
(626) 931-1810 | |
Not Available |
Full Name | Pacific Clinics Coronado Alternative School |
---|---|
Speciality | Community/behavioral Health |
Location | 1500 E Francisquito Ave, West Covina, California |
Authorized Official Name and Position | James J. Balla (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 6262545000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pacific Clinics Coronado Alternative School 800 S Santa Anita Ave Arcadia CA 91006-6853 Ph: (626) 254-5000 | Pacific Clinics Coronado Alternative School 1500 E Francisquito Ave West Covina CA 91791-3823 Ph: (626) 931-1810 |
NPI Number | 1952590101 |
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Provider Enumeration Date | 10/23/2007 |
Last Update Date | 07/22/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952590101 | NPI | - | NPPES |
6843 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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