Southeast Region Met | |
4305 S Santa Fe Ave Vernon CA 90058-1714 | |
(323) 587-5171 | |
(213) 351-2490 |
Full Name | Southeast Region Met |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 4305 S Santa Fe Ave, Vernon, California |
Authorized Official Name and Position | Lisa H. Wong (ACTING DIRECTOR) |
Authorized Official Contact | 2137384601 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Southeast Region Met 510 S Vermont Ave Los Angeles CA 90020-1992 Ph: (213) 738-4601 | Southeast Region Met 4305 S Santa Fe Ave Vernon CA 90058-1714 Ph: (323) 587-5171 |
NPI Number | 1750751194 |
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Provider Enumeration Date | 09/28/2015 |
Last Update Date | 08/25/2022 |
Certification Date | 08/25/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750751194 | NPI | - | NPPES |
7946 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |