| Pacific Clinics Ontario | |
|
2990 Inland Empire Blvd Suites 101 & 102 Ontario CA 91764-4899 | |
| (909) 980-3427 | |
| (909) 945-3426 |
| Full Name | Pacific Clinics Ontario |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2990 Inland Empire Blvd, Ontario, 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 Ontario 800 S Santa Anita Ave Arcadia CA 91006-3536 Ph: (626) 254-5000 | Pacific Clinics Ontario 2990 Inland Empire Blvd Suites 101 & 102 Ontario CA 91764-4899 Ph: (909) 980-3427 |
| NPI Number | 1902273923 |
|---|---|
| Provider Enumeration Date | 08/25/2015 |
| Last Update Date | 08/17/2021 |
| Certification Date | 08/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902273923 | NPI | - | NPPES |
| 7932 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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