Pacific Clinics Tbs Program | |
58945 Business Center Dr Suite D Yucca Valley CA 92284-7307 | |
(760) 228-9657 | |
(760) 369-6758 |
Full Name | Pacific Clinics Tbs Program |
---|---|
Speciality | Community/behavioral Health |
Location | 58945 Business Center Dr, Yucca Valley, 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 |
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Pacific Clinics Tbs Program 800 S Santa Anita Ave Arcadia CA 91006-3536 Ph: (626) 254-5000 | Pacific Clinics Tbs Program 58945 Business Center Dr Suite D Yucca Valley CA 92284-7307 Ph: (760) 228-9657 |
NPI Number | 1831477041 |
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Provider Enumeration Date | 07/22/2011 |
Last Update Date | 12/09/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831477041 | NPI | - | NPPES |
36EC | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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