| Pacific Health Group Inc. | |
|
9120 Woodman Ave Arleta CA 91331-6405 | |
| (203) 823-8588 | |
| Not Available |
| Full Name | Pacific Health Group Inc. |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 9120 Woodman Ave, Arleta, California |
| Authorized Official Name and Position | Jonathan Shaywitz (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3106876865 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Health Group Inc. 203 S Orange Dr Los Angeles CA 90036-3010 Ph: (203) 823-8588 | Pacific Health Group Inc. 9120 Woodman Ave Arleta CA 91331-6405 Ph: (203) 823-8588 |
| NPI Number | 1740807643 |
|---|---|
| Provider Enumeration Date | 06/26/2020 |
| Last Update Date | 06/26/2020 |
| Certification Date | 06/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740807643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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