University Center For Developmental Disabilities | |
5500 University Pkwy San Bernardino CA 92407-2318 | |
(909) 537-5495 | |
(909) 537-7002 |
Full Name | University Center For Developmental Disabilities |
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Speciality | Community/behavioral Health |
Location | 5500 University Pkwy, San Bernardino, California |
Authorized Official Name and Position | Diane Trujillo (DIRECTOR, SPONSORED PROGRAMS) |
Authorized Official Contact | 9095373664 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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University Center For Developmental Disabilities 5500 University Pkwy San Bernardino CA 92407-2318 Ph: (909) 537-5495 | University Center For Developmental Disabilities 5500 University Pkwy San Bernardino CA 92407-2318 Ph: (909) 537-5495 |
NPI Number | 1467813071 |
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Provider Enumeration Date | 03/09/2016 |
Last Update Date | 08/11/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467813071 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | P70877 (California) | Primary |
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