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General NPI Number Information
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NPI Number | 1205523958
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Entity Type | Organization
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Legal Business Name | HEALTH SERVICE ALLIANCE
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Dates
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Enumeration Date | 04/21/2023
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 600 N EUCLID AVE STE 202
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City | UPLAND
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State | CA
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Zip | 91786-4779
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Country | US
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Telephone | 909-281-5800
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Fax |
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Provider Business Mailing Address
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Address Line | 600 N EUCLID AVE STE 202
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City | UPLAND
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State | CA
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Zip | 91786-4779
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | JEFFREY J COX
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Credential |
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Telephone | 909-464-9675
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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