| Pacific Clinics East | |
|
902 S Myrtle Ave Monrovia CA 91016-3427 | |
| (626) 357-3258 | |
| (626) 301-0868 |
| Full Name | Pacific Clinics East |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 902 S Myrtle Ave, Monrovia, 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 East 800 S Santa Anita Ave Arcadia CA 91006-6853 Ph: (626) 254-5000 | Pacific Clinics East 902 S Myrtle Ave Monrovia CA 91016-3427 Ph: (626) 357-3258 |
| NPI Number | 1447360730 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 09/23/2021 |
| Certification Date | 09/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447360730 | NPI | - | NPPES |
| 1979 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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