| Pmet | |
|
490 W Mission Blvd Pomona CA 91766-1608 | |
| (909) 620-2117 | |
| (909) 620-2146 |
| Full Name | Pmet |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 490 W Mission Blvd, Pomona, California |
| Authorized Official Name and Position | Lisa H. Wong (ACTING DIRECTOR) |
| Authorized Official Contact | 2137384601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pmet 510 S Vermont Ave Los Angeles CA 90020-1992 Ph: (213) 738-4601 | Pmet 490 W Mission Blvd Pomona CA 91766-1608 Ph: (909) 620-2117 |
| NPI Number | 1770031973 |
|---|---|
| Provider Enumeration Date | 09/15/2016 |
| Last Update Date | 08/30/2022 |
| Certification Date | 08/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770031973 | NPI | - | NPPES |
| 7991 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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