| Bill Moore Community Health Clinic | |
|
513 E Lime Ave Suite 101 Monrovia CA 91016-2982 | |
| (626) 249-0850 | |
| (626) 249-0854 |
| Full Name | Bill Moore Community Health Clinic |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 513 E Lime Ave, Monrovia, California |
| Authorized Official Name and Position | Sandra L Arrivillaga (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6263983796 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bill Moore Community Health Clinic 1460 N Lake Ave Suite 107 Pasadena CA 91104-2300 Ph: (626) 398-3796 | Bill Moore Community Health Clinic 513 E Lime Ave Suite 101 Monrovia CA 91016-2982 Ph: (626) 249-0850 |
| NPI Number | 1780952879 |
|---|---|
| Provider Enumeration Date | 12/05/2011 |
| Last Update Date | 12/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780952879 | NPI | - | NPPES |
| CMM70645F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 960000932 (California) | Primary |
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