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NPI Code Detail

MEDICARE: PACIFIC CLINICS

MEDICARE: PACIFIC CLINICS
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 Agency

General Provider Information

NPI Number : 1255467171
Entity Type Code : Organization
Provider Name (Legal Business Name) : PACIFIC CLINICS
Provider Business Mailing Address
First Line : 800 S SANTA ANITA AVE
Second Line :
City : ARCADIA
State : CA
Zip : 91006-6853
Country : US
Telephone Number : 626-254-5000
Fax Number : 626-294-1077
Provider Business Practice Location Address
First Line : 2990 INLAND EMPIRE BLVD
Second Line : #101/102
City : ONTARIO
State : CA
Zip : 91764-4899
Country : US
Telephone Number : 909-980-3427
Fax Number : 909-945-3426
Authorized Official
Title or Position : PRESIDENT CEO
Name : DR. SUSAN MANDEL
Credential : PHD
Telephone Number : 626-254-5000
Provider Enumeration Date : 02/26/2007
Last Update Date : 04/16/2015

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Directions to “PACIFIC CLINICS ” Practice Location

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