| Pusd-rancho Medanos Jr H.s. | |
|
2301 Range Rd Pittsburg CA 94565-4646 | |
| (925) 473-2480 | |
| Not Available |
| Full Name | Pusd-rancho Medanos Jr H.s. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2301 Range Rd, Pittsburg, California |
| Authorized Official Name and Position | Stephanie Hochman (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5105593012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pusd-rancho Medanos Jr H.s. 11175 San Pablo Ave El Cerrito CA 94530-2157 Ph: (510) 559-3009 | Pusd-rancho Medanos Jr H.s. 2301 Range Rd Pittsburg CA 94565-4646 Ph: (925) 473-2480 |
| NPI Number | 1861017204 |
|---|---|
| Provider Enumeration Date | 06/11/2020 |
| Last Update Date | 07/22/2020 |
| Certification Date | 07/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861017204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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