Pacific Clinics Hye Wrap Op | |
235-237 N. Central Avenue Glendale CA 91203-2531 | |
(818) 547-9544 | |
(818) 549-9041 |
Full Name | Pacific Clinics Hye Wrap Op |
---|---|
Speciality | Community/behavioral Health |
Location | 235-237 N. Central Avenue, Glendale, 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 Hye Wrap Op 800 S Santa Anita Ave Arcadia CA 91006-6853 Ph: (626) 254-5000 | Pacific Clinics Hye Wrap Op 235-237 N. Central Avenue Glendale CA 91203-2531 Ph: (818) 547-9544 |
NPI Number | 1245375161 |
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Provider Enumeration Date | 02/20/2007 |
Last Update Date | 09/23/2021 |
Certification Date | 09/23/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245375161 | NPI | - | NPPES |
7502 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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