| San Gabriel Childrens Center Inc | |
|
4740 N Grand Ave Covina CA 91724-2005 | |
| (626) 859-2089 | |
| (626) 859-6537 |
| Full Name | San Gabriel Childrens Center Inc |
|---|---|
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
| Location | 4740 N Grand Ave, Covina, California |
| Authorized Official Name and Position | Porfirio Rincon (PRESIDENT CEO) |
| Authorized Official Contact | 6268592089 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Gabriel Childrens Center Inc 4740 N Grand Ave Covina CA 91724-2005 Ph: (626) 859-2089 | San Gabriel Childrens Center Inc 4740 N Grand Ave Covina CA 91724-2005 Ph: (626) 859-2089 |
| NPI Number | 1730381880 |
|---|---|
| Provider Enumeration Date | 06/01/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730381880 | NPI | - | NPPES |
| 0000056BJ | Medicaid | CA |
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