| Pacific Clinics El Camino | |
|
11721 Telegraph Rd Suite A Santa Fe Springs CA 90670-3674 | |
| (562) 949-8455 | |
| (562) 949-4807 |
| Full Name | Pacific Clinics El Camino |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11721 Telegraph Rd, 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 800 S Santa Anita Ave Arcadia CA 91006-3536 Ph: (626) 254-5000 | Pacific Clinics El Camino 11721 Telegraph Rd Suite A Santa Fe Springs CA 90670-3674 Ph: (562) 949-8455 |
| NPI Number | 1023128485 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 11/30/2021 |
| Certification Date | 11/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023128485 | NPI | - | NPPES |
| 19AN | Medicaid | CA | |
| 7194 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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