| Socal Health Services, Inc | |
|
1485 Spruce St Riverside CA 92507-2445 | |
| (626) 826-9373 | |
| Not Available |
| Full Name | Socal Health Services, Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1485 Spruce St, Riverside, California |
| Authorized Official Name and Position | Tim O Ejindu (PROGRAM DIRECTOR) |
| Authorized Official Contact | 6268269373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Socal Health Services, Inc Po Box 3936 Ontario CA 91761-0987 Ph: () - | Socal Health Services, Inc 1485 Spruce St Riverside CA 92507-2445 Ph: (626) 826-9373 |
| NPI Number | 1699973990 |
|---|---|
| Provider Enumeration Date | 07/07/2007 |
| Last Update Date | 11/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699973990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 330080AN (California) | Primary |
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