| Prototypes Centers For Innovation In Health, Mental Health And Social | |
|
831 E Arrow Hwy Pomona CA 91767-2535 | |
| (909) 398-4383 | |
| (909) 398-0127 |
| Full Name | Prototypes Centers For Innovation In Health, Mental Health And Social |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 831 E Arrow Hwy, Pomona, California |
| Authorized Official Name and Position | Cassandra Loch (PRESIDENT, CEO) |
| Authorized Official Contact | 2135423838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| 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 831 E Arrow Hwy Pomona CA 91767-2535 Ph: (909) 398-4383 |
| NPI Number | 1003932047 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 04/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003932047 | NPI | - | NPPES |
| 7569A | Other | CA | LA COUNTY DMH |
| 7568A | Other | CA | LA COUNTY DMH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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