| Westcare California, Inc. | |
|
3636 N. First Street Suite 123 Fresno CA 93726-6818 | |
| (559) 251-4800 | |
| Not Available |
| Full Name | Westcare California, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 3636 N. First Street, Fresno, California |
| Authorized Official Name and Position | Michelle Lee Allen (QUALITY ASSURANCE ASSISSTANT) |
| Authorized Official Contact | 5592514800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Westcare California, Inc. 1900 N Gateway Blvd Fresno CA 93727-1622 Ph: (559) 251-4800 | Westcare California, Inc. 3636 N. First Street Suite 123 Fresno CA 93726-6818 Ph: (559) 251-4800 |
| NPI Number | 1124598305 |
|---|---|
| Provider Enumeration Date | 11/29/2018 |
| Last Update Date | 11/29/2018 |
| Medicare PECOS PAC ID | 7214378769 |
|---|---|
| Medicare Enrollment ID | O20240515000451 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124598305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Herbert A Cruz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023107513 PECOS PAC ID: 0042204448 Enrollment ID: I20051102000640 |
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