| Weselpa Dbh | |
|
1800 E 7th St Ontario CA 91764-1210 | |
| (909) 382-3080 | |
| (909) 382-3105 |
| Full Name | Weselpa Dbh |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1800 E 7th St, Ontario, California |
| Authorized Official Name and Position | Michael J. Day (INFORMATION TECHNOLOGY MANAGER) |
| Authorized Official Contact | 9093880570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Weselpa Dbh 268 West Hospitality Lane Suite 400 San Bernardino CA 92415-0026 Ph: (909) 382-3080 | Weselpa Dbh 1800 E 7th St Ontario CA 91764-1210 Ph: (909) 382-3080 |
| NPI Number | 1992901466 |
|---|---|
| Provider Enumeration Date | 06/22/2007 |
| Last Update Date | 07/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992901466 | NPI | - | NPPES |
| 3600036BH | Other | CA | MEDICAL PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | ZZZ74743Z (California) | Primary |
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