| Prototypes Centers For Innovation In Health, Mh, & Social Services | |
|
11100 Valley Blvd Suite 116 El Monte CA 91731-2500 | |
| (626) 444-0705 | |
| (626) 444-0710 |
| Full Name | Prototypes Centers For Innovation In Health, Mh, & Social Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11100 Valley Blvd, El Monte, California |
| Authorized Official Name and Position | Cassandra Loch (PRESIDENT AND 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, Mh, & Social Services 1000 N Alameda St Suite 390 Los Angeles CA 90012-1804 Ph: (213) 542-3838 | Prototypes Centers For Innovation In Health, Mh, & Social Services 11100 Valley Blvd Suite 116 El Monte CA 91731-2500 Ph: (626) 444-0705 |
| NPI Number | 1902109820 |
|---|---|
| Provider Enumeration Date | 12/15/2010 |
| Last Update Date | 12/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902109820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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