| Mi Escuelita | |
|
915 4th Ave Chula Vista CA 91911-2083 | |
| (619) 420-7071 | |
| Not Available |
| Full Name | Mi Escuelita |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 915 4th Ave, Chula Vista, California |
| Authorized Official Name and Position | Valerie Centeno (CLINICAL DIRECTOR) |
| Authorized Official Contact | 6194203620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mi Escuelita 430 F St Chula Vista CA 91910-3711 Ph: (619) 420-3620 | Mi Escuelita 915 4th Ave Chula Vista CA 91911-2083 Ph: (619) 420-7071 |
| NPI Number | 1457804635 |
|---|---|
| Provider Enumeration Date | 07/25/2016 |
| Last Update Date | 07/26/2022 |
| Certification Date | 07/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457804635 | NPI | - | NPPES |
| 37LA | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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