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5300 California Avenue Suite 220 Bakersfield CA 93309-1644 | |
(661) 282-9027 | |
(661) 283-0128 |
Full Name | |
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Speciality | Clinic/Center |
Location | 5300 California Avenue Suite 220, Bakersfield, California |
Authorized Official Name and Position | Leonardo Mendez (CEO) |
Authorized Official Contact | 6618892281 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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5300 California Ave Ste 220 Bakersfield CA 93309-1644 Ph: (661) 282-9027 | 5300 California Avenue Suite 220 Bakersfield CA 93309-1644 Ph: (661) 282-9027 |
NPI Number | 1487121133 |
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Provider Enumeration Date | 10/31/2018 |
Last Update Date | 12/19/2024 |
Certification Date | 12/19/2024 |
Medicare PECOS PAC ID | 4880934603 |
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Medicare Enrollment ID | O20190314000304 |
Identifier | Type | State | Issuer |
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1487121133 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
County Of Kern Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3416 Sillect Ave, Bakersfield, CA 93308 Phone: 661-322-6624 | |
Frola Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10221 Alondra Dr, Bakersfield, CA 93311 Phone: 661-444-2452 | |
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