| West End Family Counseling Service | |
|
855 N Euclid Ave Ontario CA 91762-2729 | |
| (909) 983-2020 | |
| (909) 983-6847 |
| Full Name | West End Family Counseling Service |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 855 N Euclid Ave, Ontario, California |
| Authorized Official Name and Position | Laura Tapia (CEO) |
| Authorized Official Contact | 9099832020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West End Family Counseling Service 855 N Euclid Ave Ontario CA 91762-2729 Ph: (909) 983-2020 | West End Family Counseling Service 855 N Euclid Ave Ontario CA 91762-2729 Ph: (909) 983-2020 |
| NPI Number | 1942323563 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 01/15/2021 |
| Certification Date | 01/15/2021 |
| Medicare PECOS PAC ID | 6709813280 |
|---|---|
| Medicare Enrollment ID | O20050726001158 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942323563 | NPI | - | NPPES |
| 1942323563 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Mubashir Ahmad Farooqi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902858194 PECOS PAC ID: 0648166223 Enrollment ID: I20040223000671 |
| Provider Name | Liana Niculina Tanase |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124070560 PECOS PAC ID: 3678505245 Enrollment ID: I20050902000510 |
| Provider Name | Alma L Valdez-carreon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972642502 PECOS PAC ID: 1153790068 Enrollment ID: I20221216000322 |
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