| Straight Talk Clinic, Inc. | |
|
13710 La Mirada Blvd La Mirada CA 90638-3028 | |
| (562) 943-0195 | |
| (562) 943-4015 |
| Full Name | Straight Talk Clinic, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 13710 La Mirada Blvd, La Mirada, California |
| Authorized Official Name and Position | Roberta E. Cone (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7148282000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Straight Talk Clinic, Inc. 13710 La Mirada Blvd La Mirada CA 90638-3028 Ph: (562) 943-0195 | Straight Talk Clinic, Inc. 13710 La Mirada Blvd La Mirada CA 90638-3028 Ph: (562) 943-0195 |
| NPI Number | 1568672640 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 01/04/2024 |
| Certification Date | 01/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568672640 | NPI | - | NPPES |
| ZZZ41951Z | Other | CA | BLUESHIELD OF CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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