Start East - Pasadena | |
532 E Colorado Blvd Fl 8 Pasadena CA 91101-2044 | |
(626) 229-3797 | |
Not Available |
Full Name | Start East - Pasadena |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 532 E Colorado Blvd Fl 8, Pasadena, 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 |
---|---|
Start East - Pasadena 510 S Vermont Ave Los Angeles CA 90020-1992 Ph: (213) 738-4601 | Start East - Pasadena 532 E Colorado Blvd Fl 8 Pasadena CA 91101-2044 Ph: (626) 229-3797 |
NPI Number | 1356355697 |
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Provider Enumeration Date | 07/29/2006 |
Last Update Date | 07/25/2022 |
Certification Date | 07/25/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356355697 | NPI | - | NPPES |
7404 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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