| South Coast Community Services | |
|
1425 W Foothill Blvd Ste 310&201 Upland CA 91786-8007 | |
| (909) 835-4800 | |
| (909) 547-6552 |
| Full Name | South Coast Community Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1425 W Foothill Blvd Ste 310&201, Upland, California |
| Authorized Official Name and Position | Kathleen Darling (CHIEF OPERATIONS OFFICER) |
| Authorized Official Contact | 9098384274 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Coast Community Services 25910 Acero Ste 160 Mission Viejo CA 92691-2777 Ph: (909) 980-6700 | South Coast Community Services 1425 W Foothill Blvd Ste 310&201 Upland CA 91786-8007 Ph: (909) 835-4800 |
| NPI Number | 1043669286 |
|---|---|
| Provider Enumeration Date | 06/08/2016 |
| Last Update Date | 08/01/2022 |
| Certification Date | 08/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043669286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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