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11001 E. Valley Mall Suite 300 El Monte CA 91731-2620 | |
(626) 442-0710 | |
(626) 442-8381 |
Full Name | |
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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 |
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1000 N Alameda St Suite 390 Los Angeles CA 90012-1804 Ph: (213) 542-3838 | 11001 E. Valley Mall Suite 300 El Monte CA 91731-2620 Ph: (626) 442-0710 |
NPI Number | 1508055971 |
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Provider Enumeration Date | 10/22/2007 |
Last Update Date | 03/09/2011 |
Medicare PECOS PAC ID | 6608058177 |
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Medicare Enrollment ID | O20110305000022 |
Identifier | Type | State | Issuer |
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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 |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831399740 PECOS PAC ID: 8628163599 Enrollment ID: I20071008000176 |
Provider Name | Rebecca M Snyder |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1306977004 PECOS PAC ID: 1951584580 Enrollment ID: I20110321000113 |
Hacc Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3300 Gilman Rd, El Monte, CA 91732 Phone: 310-831-0331 | |
Hacc Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12460 Fineview St, El Monte, CA 91732 Phone: 310-831-0331 | |