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950 N Ramona Blvd Suites 1-3 San Jacinto CA 92582-2567 | |
| (951) 487-2674 | |
| (951) 487-2679 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 950 N Ramona Blvd, San Jacinto, California |
| Authorized Official Name and Position | Matthew Chang (DIRECTOR RUHS - BEHAVIORAL HEALTH) |
| Authorized Official Contact | 9513584501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 7549 Riverside CA 92513-7549 Ph: (951) 358-6900 | 950 N Ramona Blvd Suites 1-3 San Jacinto CA 92582-2567 Ph: (951) 487-2674 |
| NPI Number | 1407921877 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 09/09/2022 |
| Certification Date | 09/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407921877 | NPI | - | NPPES |
| 33CS | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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