California Mental Health Connection

LBN: California Mental Health Connection
California Mental Health Connection is an health care organization with primary practice located at 714 N. Sunset Ave , West Covina CA 91790. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Student, Health Care / Student in an Organized Health Care Education/Training Program. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty. California Mental Health Connection can be contacted via phone (626) 453-6234, or through Jimenez, Elisa K via phone (626) 453-6234.

Contact Information

Primary practice address
714 N. Sunset Ave West Covina CA 91790
Phone: (626) 453-6234
Fax: (626) 430-7404
Website:
Map and Directions
Authorized official contact:
Name: Jimenez, Elisa K PSYD INTERN, LICENSE
Phone: (626) 453-6234

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 198601281 California
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X 198601281 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 198601281 California

Profile Details

NPI number 1558672360
LBN Legal business name California Mental Health Connection
DBA Doing business as California Mental Health Connection
Authorized official Jimenez, Elisa K PSYD INTERN, LICENSE
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2010
Last updated Jun 25th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558672360 NPPES
Other 198601281 STATE OF CALIFORNIA DPT OF SOCIAL SERVICES

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