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NPI Code Detail

MEDICARE: INSTITUTE FOR FAMILY CENTERED SERVICES INC.

MEDICARE: INSTITUTE FOR FAMILY CENTERED SERVICES INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health AgencyCA

General Provider Information

NPI Number : 1255714804
Entity Type Code : Organization
Provider Name (Legal Business Name) : INSTITUTE FOR FAMILY CENTERED SERVICES INC.
Provider Business Mailing Address
First Line : 9166 ANAHEIM PL
Second Line : SUITE 200
City : RANCHO CUCAMONGA
State : CA
Zip : 91730-8547
Country : US
Telephone Number : 909-483-2505
Fax Number : 909-483-2119
Provider Business Practice Location Address
First Line : 555 E OCEAN BLVD STE 330
Second Line :
City : LONG BEACH
State : CA
Zip : 90802-5052
Country : US
Telephone Number : 562-424-1869
Fax Number : 562-683-2686
Authorized Official
Title or Position : VP & SR ASST GENERAL COUNSEL
Name : MARY PATRICIA RODENBERG-ROBERTS
Credential :
Telephone Number : 952-836-2234
Provider Enumeration Date : 07/01/2015
Last Update Date : 05/07/2024

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Directions to “INSTITUTE FOR FAMILY CENTERED SERVICES INC. ” Practice Location

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