Pacific Clinics Rancho Tay Center

LBN: Pacific Clinics
Pacific Clinics Rancho Tay Center is an health care organization with primary practice located at 9047 Arrow Rte Suite 170, Rancho Cucamonga CA 91730-4449. 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) 466-8696, or through Mandel, Susan via phone (626) 254-5000.

Contact Information

Primary practice address
9047 Arrow Rte Suite 170 Rancho Cucamonga CA 91730-4449
Phone: (909) 466-8696
Fax: (909) 948-0457
Website:
Map and Directions
Authorized official contact:
Name: Mandel, Susan PH.D.
Phone: (626) 254-5000

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1306017702
LBN Legal business name Pacific Clinics
DBA Doing business as Pacific Clinics Rancho Tay Center
Authorized official Mandel, Susan PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2008
Last updated Jul 22nd, 2011 - about 13 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 1306017702 NPPES
California MEDICAID 36D2

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