| Pacific Clinics Foothill School | |
|
4490 Cornishon Ave La Canada CA 91011-3243 | |
| (818) 949-4758 | |
| (818) 949-4757 |
| Full Name | Pacific Clinics Foothill School |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4490 Cornishon Ave, La Canada, 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 Foothill School 800 S Santa Anita Ave Arcadia CA 91006-6853 Ph: (626) 254-5000 | Pacific Clinics Foothill School 4490 Cornishon Ave La Canada CA 91011-3243 Ph: (818) 949-4758 |
| NPI Number | 1326248204 |
|---|---|
| Provider Enumeration Date | 07/19/2007 |
| Last Update Date | 04/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326248204 | NPI | - | NPPES |
| 7704 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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