| Sgmet | |
|
1359 N Grand Ave Covina CA 91724-1016 | |
| (626) 430-2984 | |
| (626) 455-0623 |
| Full Name | Sgmet |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1359 N Grand Ave, Covina, California |
| Authorized Official Name and Position | Lisa H. Wong (ACTING DIRECTOR) |
| Authorized Official Contact | 2137384601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sgmet 510 S Vermont Ave Los Angeles CA 90020-1992 Ph: (213) 738-4601 | Sgmet 1359 N Grand Ave Covina CA 91724-1016 Ph: (626) 430-2984 |
| NPI Number | 1194264275 |
|---|---|
| Provider Enumeration Date | 02/22/2017 |
| Last Update Date | 09/01/2022 |
| Certification Date | 09/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194264275 | NPI | - | NPPES |
| 1942 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (California) | Primary |
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