Pacific Clinics Riverside Tbs Expansion Program

LBN: Pacific Clinics
Pacific Clinics Riverside Tbs Expansion Program is an health care organization with primary practice located at 13800 Heacock St Suites C236 & C210, Moreno Valley CA 92553-3339. 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 (951) 653-0819, or through Mandel, Susan via phone (626) 254-5000.

Contact Information

Primary practice address
13800 Heacock St Suites C236 & C210 Moreno Valley CA 92553-3339
Phone: (951) 653-0819
Fax: (951) 656-2614
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 1386828275
LBN Legal business name Pacific Clinics
DBA Doing business as Pacific Clinics Riverside Tbs Expansion Program
Authorized official Mandel, Susan PHD
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2007
Last updated Dec 13th, 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 1386828275 NPPES
California MEDICAID 33HX

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