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2285 Walnut Ave Signal Hill CA 90755-3619 | |
| (562) 595-1159 | |
| (562) 216-2337 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2285 Walnut Ave, Signal Hill, California |
| Authorized Official Name and Position | Patricia Costales (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5624852271 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1301 Pine Ave Long Beach CA 90813-3124 Ph: (562) 595-1159 | 2285 Walnut Ave Signal Hill CA 90755-3619 Ph: (562) 595-1159 |
| NPI Number | 1487252938 |
|---|---|
| Provider Enumeration Date | 10/15/2020 |
| Last Update Date | 02/04/2025 |
| Certification Date | 02/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487252938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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