| Pacific Clinics El Camino Expansion | |
|
11741 Telegraph Rd Ste A, B & C Santa Fe Springs CA 90670-3681 | |
| (562) 801-0318 | |
| (562) 949-3642 |
| Full Name | Pacific Clinics El Camino Expansion |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11741 Telegraph Rd Ste A, B & C, Santa Fe Springs, 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 El Camino Expansion 800 S Santa Anita Ave Arcadia CA 91006-3536 Ph: (626) 254-5000 | Pacific Clinics El Camino Expansion 11741 Telegraph Rd Ste A, B & C Santa Fe Springs CA 90670-3681 Ph: (562) 801-0318 |
| NPI Number | 1275868267 |
|---|---|
| Provider Enumeration Date | 10/08/2009 |
| Last Update Date | 09/23/2021 |
| Certification Date | 09/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275868267 | NPI | - | NPPES |
| 7903 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Pacific Clinics El Camino Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11721 Telegraph Rd, Suite A, Santa Fe Springs, CA 90670 Phone: 562-949-8455 Fax: 562-949-4807 | |
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