| Palmdale Mental Health Center | |
|
2260 E Palmdale Blvd Ste J Palmdale CA 93550-4952 | |
| (661) 575-1800 | |
| Not Available |
| Full Name | Palmdale Mental Health Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2260 E Palmdale Blvd Ste J, Palmdale, California |
| Authorized Official Name and Position | Lisa H. Wong (DIRECTOR) |
| Authorized Official Contact | 2139476670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmdale Mental Health Center 510 S Vermont Ave Los Angeles CA 90020-1912 Ph: (213) 947-6670 | Palmdale Mental Health Center 2260 E Palmdale Blvd Ste J Palmdale CA 93550-4952 Ph: (661) 575-1800 |
| NPI Number | 1881627420 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 07/26/2023 |
| Certification Date | 07/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881627420 | NPI | - | NPPES |
| 7386 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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