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1014 Zook Dr Glendale CA 91202-2623 | |
| (954) 547-0788 | |
| (818) 638-8024 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1014 Zook Dr, Glendale, California |
| Authorized Official Name and Position | Gina Vyrostek (VP UM/COMPLIANCE) |
| Authorized Official Contact | 9258254700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3480 Buskirk Ave Ste 300 Pleasant Hill CA 94523-4343 Ph: (925) 825-4700 | 1014 Zook Dr Glendale CA 91202-2623 Ph: (954) 547-0788 |
| NPI Number | 1740776640 |
|---|---|
| Provider Enumeration Date | 07/03/2018 |
| Last Update Date | 07/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740776640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (California) | Primary |
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