| Pacific Clinics Magnolia Park | |
|
827 N Avon St Burbank CA 91505-2916 | |
| (818) 558-4677 | |
| (818) 848-8137 |
| Full Name | Pacific Clinics Magnolia Park |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 827 N Avon St, Burbank, 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 Magnolia Park 800 S Santa Anita Ave Arcadia CA 91006-6853 Ph: (626) 254-5000 | Pacific Clinics Magnolia Park 827 N Avon St Burbank CA 91505-2916 Ph: (818) 558-4677 |
| NPI Number | 1962602839 |
|---|---|
| Provider Enumeration Date | 07/19/2007 |
| Last Update Date | 02/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962602839 | NPI | - | NPPES |
| 7703 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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