| Clarvida | |
|
42455 10th St W Suite 103 Lancaster CA 93534-7060 | |
| (661) 341-3900 | |
| (661) 341-3904 |
| Full Name | Clarvida |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 42455 10th St W, Lancaster, California |
| Authorized Official Name and Position | Tracy Ginter (DIRECTOR OF STATE OPERATIONS) |
| Authorized Official Contact | 6574659497 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarvida 8337 Telegraph Rd Ste 115 Pico Rivera CA 90660-4940 Ph: (562) 467-5440 | Clarvida 42455 10th St W Suite 103 Lancaster CA 93534-7060 Ph: (661) 341-3900 |
| NPI Number | 1720225360 |
|---|---|
| Provider Enumeration Date | 01/20/2009 |
| Last Update Date | 06/03/2024 |
| Certification Date | 06/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720225360 | NPI | - | NPPES |
| 7751A | Other | CA | LA COUNTY DMH PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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