| Pacific Health Education Cognitive Center, Inc | |
|
5300 California Avenue Suite 220 Bakersfield CA 93309-1644 | |
| (661) 282-9027 | |
| (661) 283-0128 |
| Full Name | Pacific Health Education Cognitive Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5300 California Avenue Suite 220, Bakersfield, California |
| Authorized Official Name and Position | Leonardo Mendez (PRESIDENT) |
| Authorized Official Contact | 6618892281 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Health Education Cognitive Center, Inc 5300 California Ave Ste 220 Bakersfield CA 93309-1644 Ph: (661) 282-9027 | Pacific Health Education Cognitive Center, Inc 5300 California Avenue Suite 220 Bakersfield CA 93309-1644 Ph: (661) 282-9027 |
| NPI Number | 1487121133 |
|---|---|
| Provider Enumeration Date | 10/31/2018 |
| Last Update Date | 01/17/2019 |
| Medicare PECOS PAC ID | 4880934603 |
|---|---|
| Medicare Enrollment ID | O20190314000304 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487121133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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