| Wesley Health Centers - Michael Antonovich Dental Clinic | |
|
1845 N Fair Oaks Ave Ste 1101 Pasadena CA 91103-1620 | |
| (562) 867-7999 | |
| (323) 215-0170 |
| Full Name | Wesley Health Centers - Michael Antonovich Dental Clinic |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 1845 N Fair Oaks Ave Ste 1101, Pasadena, California |
| Authorized Official Name and Position | Alvaro Ballesteros (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3232014516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wesley Health Centers - Michael Antonovich Dental Clinic 5650 Jillson St Commerce CA 90040-1482 Ph: (323) 201-4516 | Wesley Health Centers - Michael Antonovich Dental Clinic 1845 N Fair Oaks Ave Ste 1101 Pasadena CA 91103-1620 Ph: (562) 867-7999 |
| NPI Number | 1801261011 |
|---|---|
| Provider Enumeration Date | 12/14/2015 |
| Last Update Date | 09/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801261011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (California) | Primary |
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