| Prototypes Centers For Innovation In Health, Mental Health And Social | |
|
11001 E. Valley Mall Suite 300 El Monte CA 91731-2620 | |
| (626) 442-0710 | |
| (626) 442-8381 |
| Full Name | Prototypes Centers For Innovation In Health, Mental Health And Social |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 11001 E. Valley Mall, El Monte, California |
| Authorized Official Name and Position | Cassandra Loch (PRESIDENT, CEO) |
| Authorized Official Contact | 2135423838 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prototypes Centers For Innovation In Health, Mental Health And Social 1000 N Alameda St Suite 390 Los Angeles CA 90012-1804 Ph: (213) 542-3838 | Prototypes Centers For Innovation In Health, Mental Health And Social 11001 E. Valley Mall Suite 300 El Monte CA 91731-2620 Ph: (626) 442-0710 |
| NPI Number | 1508055971 |
|---|---|
| Provider Enumeration Date | 10/22/2007 |
| Last Update Date | 03/09/2011 |
| Medicare PECOS PAC ID | 6608058177 |
|---|---|
| Medicare Enrollment ID | O20110305000022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508055971 | NPI | - | NPPES |
| 7370P | Other | CA | LA COUNTY DMH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Percival J Baldrias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831399740 PECOS PAC ID: 8628163599 Enrollment ID: I20071008000176 |
| Provider Name | Rebecca M Snyder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306977004 PECOS PAC ID: 1951584580 Enrollment ID: I20110321000113 |
Healthright 360 Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11100 Valley Blvd, Suite 116, El Monte, CA 91731 Phone: 626-444-0704 | |
Hacc Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3300 Gilman Rd, El Monte, CA 91732 Phone: 310-831-0331 | |
Dmh Dhs Collaboration El Monte Chc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10953 Ramona Blvd, El Monte, CA 91731 Phone: 213-738-3111 Fax: 213-351-2493 | |
Hacc Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12460 Fineview St, El Monte, CA 91732 Phone: 310-831-0331 | |
Specialized Foster Care El Monte Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4024 Durfee Ave, El Monte, CA 91732 Phone: 626-455-4668 Fax: 626-453-8366 | |
Dfys Arroyo Hs Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4921 Cedar Ave # 1035, El Monte, CA 91732 Phone: 626-296-8900 | |
Pacific Clinics Family Preservation Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10412 Lower Azusa Rd, El Monte, CA 91731 Phone: 626-652-0755 Fax: 626-433-1318 |