Pacific Clinics Central Valley Clubhouse

LBN: Pacific Clinics
Pacific Clinics Central Valley Clubhouse is an health care organization with primary practice located at 1501 S Riverside Ave , Rialto CA 92376-7725. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Pacific Clinics can be contacted via phone (909) 877-4889, or through Mandel, Susan via phone (626) 254-5000.

Contact Information

Primary practice address
1501 S Riverside Ave Rialto CA 92376-7725
Phone: (909) 877-4889
Fax: (909) 877-4898
Website:
Map and Directions
Authorized official contact:
Name: Mandel, Susan PHD
Phone: (626) 254-5000

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1215063532
LBN Legal business name Pacific Clinics
DBA Doing business as Pacific Clinics Central Valley Clubhouse
Authorized official Mandel, Susan PHD
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2007
Last updated Sep 26th, 2007 - about 17 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 1215063532 NPPES
California MEDICAID 0000036BW

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