| South Coast Community Services | |
|
1425 W Foothill Blvd Ste 201 Upland CA 91786-3637 | |
| (909) 980-6700 | |
| (909) 980-6003 |
| Full Name | South Coast Community Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1425 W Foothill Blvd Ste 201, Upland, California |
| Authorized Official Name and Position | Kathleen Darling (COO) |
| 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) 980-7000 | South Coast Community Services 1425 W Foothill Blvd Ste 201 Upland CA 91786-3637 Ph: (909) 980-6700 |
| NPI Number | 1851668842 |
|---|---|
| Provider Enumeration Date | 11/19/2011 |
| Last Update Date | 11/04/2024 |
| Certification Date | 11/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851668842 | NPI | - | NPPES |
| 36FPTB | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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