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5200 San Gabriel Pl Ste G Pico Rivera CA 90660-2498 | |
(562) 949-4800 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Adult Mental Health |
Location | 5200 San Gabriel Pl Ste G, Pico Rivera, California |
Authorized Official Name and Position | Andrew Mendonsa (CEO / PRINCIPLE) |
Authorized Official Contact | 9162240212 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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19230 Sonoma Highway Suite 200 Sonoma CA 95476 Ph: (707) 395-4500 | 5200 San Gabriel Pl Ste G Pico Rivera CA 90660-2498 Ph: (562) 949-4800 |
NPI Number | 1396929022 |
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Provider Enumeration Date | 12/17/2007 |
Last Update Date | 01/06/2020 |
Certification Date | 01/06/2020 |
Identifier | Type | State | Issuer |
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1396929022 | NPI | - | NPPES |
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