| Ucr Health Psychiatry - Brockton | |
|
5887 Brockton Ave Suite A Riverside CA 92506-1853 | |
| (951) 827-7961 | |
| (951) 530-4783 |
| Full Name | Ucr Health Psychiatry - Brockton |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5887 Brockton Ave, Riverside, California |
| Authorized Official Name and Position | John A. Heydt (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7144562986 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ucr Health Psychiatry - Brockton Po Box 31001-2130 Pasadena CA 91110-2130 Ph: (213) 412-1973 | Ucr Health Psychiatry - Brockton 5887 Brockton Ave Suite A Riverside CA 92506-1853 Ph: (951) 827-7961 |
| NPI Number | 1568852473 |
|---|---|
| Provider Enumeration Date | 01/29/2015 |
| Last Update Date | 01/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568852473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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