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4024 N Durfee Avenue Room 216 El Monte CA 91732-2510 | |
(626) 459-8800 | |
(626) 608-3339 |
Full Name | |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 4024 N Durfee Avenue, El Monte, 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 |
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510 S Vermont Ave Los Angeles CA 90020-1992 Ph: (213) 738-4601 | 4024 N Durfee Avenue Room 216 El Monte CA 91732-2510 Ph: (626) 459-8800 |
NPI Number | 1407147978 |
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Provider Enumeration Date | 05/02/2011 |
Last Update Date | 07/14/2022 |
Certification Date | 07/14/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407147978 | NPI | - | NPPES |
7810 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Hacc Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3300 Gilman Rd, El Monte, CA 91732 Phone: 310-831-0331 | |
Hacc Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12460 Fineview St, El Monte, CA 91732 Phone: 310-831-0331 | |