DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: POMONA ALCOHOL & DRUG RECOVERY CENTER

MEDICARE: POMONA ALCOHOL & DRUG RECOVERY CENTER
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
1261QM0855XAdolescent and Children Mental Health Clinic/Center

General Provider Information

NPI Number : 1063778595
Entity Type Code : Organization
Provider Name (Legal Business Name) : POMONA ALCOHOL & DRUG RECOVERY CENTER
Provider Business Mailing Address
First Line : PO BOX 3936
Second Line :
City : ONTARIO
State : CA
Zip : 91761-0987
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 605 N PARK AVE
Second Line :
City : POMONA
State : CA
Zip : 91768-3622
Country : US
Telephone Number : 909-622-2273
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. TIM EJINDU
Credential :
Telephone Number : 909-622-2273
Provider Enumeration Date : 04/10/2012
Last Update Date : 04/10/2012

Similar Medicare Providers

1053442285 — MRS. BRIDGET MARY EARL MFT
Practice Location Address:
605 N PARK AVE
POMONA, CA
91768-3622
Practice Phone: 909-964-8204
Practice Fax:
1740065333 — JENNIFER LOUIE
Practice Location Address:
605 N PARK AVE
POMONA, CA
91768-3622
Practice Phone: 909-397-4491
Practice Fax:
1801928684 — MR. FRANK ANTHONY ZAPPIA M.S., M.F.T.
Practice Location Address:
605 N PARK AVE
POMONA, CA
91768-3622
Practice Phone: 909-397-4491
Practice Fax:
1194958108 — JA MEDICAL SUPPLIES.
Practice Location Address:
675 N PARK AVE
POMONA, CA
91768-3622
Practice Phone: 909-868-1160
Practice Fax: 909-469-6086
1265738546 — OPEN ARMS MENS CENTER
Practice Location Address:
605 N PARK AVE
POMONA, CA
91768-3622
Practice Phone: 323-855-5656
Practice Fax: 424-228-4231
1427441807 — HECTOR FERIA
Practice Location Address:
605 N PARK AVE
POMONA, CA
91768-3622
Practice Phone: 626-861-3161
Practice Fax:

Directions to “POMONA ALCOHOL & DRUG RECOVERY CENTER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.