| Simons Middle School | |
|
900 E Franklin Ave Pomona CA 91766-5362 | |
| (323) 295-1136 | |
| (323) 295-1071 |
| Full Name | Simons Middle School |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 900 E Franklin Ave, Pomona, California |
| Authorized Official Name and Position | Josephine C Kannike-martins (CEO/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3232951136 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Simons Middle School 3756 Santa Rosalia Dr 417 Los Angeles CA 90008-3606 Ph: (323) 295-1136 | Simons Middle School 900 E Franklin Ave Pomona CA 91766-5362 Ph: (323) 295-1136 |
| NPI Number | 1881038883 |
|---|---|
| Provider Enumeration Date | 04/20/2013 |
| Last Update Date | 04/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881038883 | NPI | - | NPPES |
| 190636 AN | Other | CA | MEDICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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