Pacific Clinics Sierra Family Center | |
1160 S Grand Ave Glendora CA 91740-5000 | |
(626) 335-5980 | |
(626) 335-5989 |
Full Name | Pacific Clinics Sierra Family Center |
---|---|
Speciality | Community/behavioral Health |
Location | 1160 S Grand Ave, Glendora, 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 Sierra Family Center 800 S Santa Anita Ave Arcadia CA 91006-6853 Ph: (626) 254-5000 | Pacific Clinics Sierra Family Center 1160 S Grand Ave Glendora CA 91740-5000 Ph: (626) 335-5980 |
NPI Number | 1790895092 |
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Provider Enumeration Date | 08/30/2006 |
Last Update Date | 09/23/2021 |
Certification Date | 09/23/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790895092 | NPI | - | NPPES |
19AN | Medicaid | CA | |
7380 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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