Personal Involvement Center, Inc. | |
348 E Avenue K4 Lancaster CA 93535-4505 | |
(866) 508-0311 | |
(323) 750-0018 |
Full Name | Personal Involvement Center, Inc. |
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Speciality | Community/behavioral Health |
Location | 348 E Avenue K4, Lancaster, California |
Authorized Official Name and Position | Maxine Perryman-diggs (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 3235652300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Personal Involvement Center, Inc. Po Box 514839 Los Angeles CA 90051-2839 Ph: (866) 508-0311 | Personal Involvement Center, Inc. 348 E Avenue K4 Lancaster CA 93535-4505 Ph: (866) 508-0311 |
NPI Number | 1043605264 |
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Provider Enumeration Date | 04/03/2015 |
Last Update Date | 11/30/2021 |
Certification Date | 11/30/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043605264 | NPI | - | NPPES |
7542A | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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