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NPI Code Detail

MEDICARE: GEROPSYCHIATRIC SERVICES, INC

MEDICARE: GEROPSYCHIATRIC 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
1314000000XSkilled Nursing FacilityLTC#90043FCA

General Provider Information

NPI Number : 1902994783
Entity Type Code : Organization
Provider Name (Legal Business Name) : GEROPSYCHIATRIC SERVICES, INC
Provider Business Mailing Address
First Line : 1080 MARINA VILLAGE PKWY STE 100
Second Line :
City : ALAMEDA
State : CA
Zip : 94501-1078
Country : US
Telephone Number : 510-337-7950
Fax Number :
Provider Business Practice Location Address
First Line : 8835 VANS ST
Second Line :
City : PARAMOUNT
State : CA
Zip : 90723-4656
Country : US
Telephone Number : 562-633-5111
Fax Number : 562-633-5629
Authorized Official
Title or Position : PROVIDER RELATIONS SUPERVIDOR
Name : LORENA LOPEZ
Credential :
Telephone Number : 510-292-7024
Provider Enumeration Date : 10/10/2006
Last Update Date : 09/22/2022

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Directions to “GEROPSYCHIATRIC SERVICES, INC ” Practice Location

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