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1481 North Windsor Drive San Bernardino CA 92404-5416 | |
(909) 361-6470 | |
(909) 203-7403 |
Full Name | |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1481 North Windsor Drive, San Bernardino, California |
Authorized Official Name and Position | Lorena Lopez (PROVIDER RELATIONS SUPERVISOR) |
Authorized Official Contact | 5103377950 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1080 Marina Village Pkwy Ste 100 Alameda CA 94501-1078 Ph: (510) 337-7950 | 1481 North Windsor Drive San Bernardino CA 92404-5416 Ph: (909) 361-6470 |
NPI Number | 1912418930 |
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Provider Enumeration Date | 10/17/2017 |
Last Update Date | 03/28/2023 |
Certification Date | 03/28/2023 |
Identifier | Type | State | Issuer |
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1912418930 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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