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13210 Florence Ave Santa Fe Spgs CA 90670-4510 | |
(562) 574-2637 | |
(213) 533-1066 |
Full Name | |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 13210 Florence Ave, Santa Fe Spgs, California |
Authorized Official Name and Position | Lorena Lopez (PROVIDER RELATIONS SUPERVISOR) |
Authorized Official Contact | 5102927024 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1080 Marina Village Pkwy Ste 100 Alameda CA 94501-1078 Ph: (510) 337-7950 | 13210 Florence Ave Santa Fe Spgs CA 90670-4510 Ph: (562) 574-2637 |
NPI Number | 1962247296 |
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Provider Enumeration Date | 06/27/2024 |
Last Update Date | 01/06/2025 |
Certification Date | 01/06/2025 |
Identifier | Type | State | Issuer |
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1962247296 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |