Pacific Clinics Clubhouse - Santa Fe Social Club

LBN: Pacific Clinics
Pacific Clinics Clubhouse - Santa Fe Social Club is an health care organization with primary practice located at 56020 Santa Fe Trl Suite M, Yucca Valley CA 92284-3148. 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 (760) 369-4057, or through Mandel, Susan via phone (626) 254-5000.

Contact Information

Primary practice address
56020 Santa Fe Trl Suite M Yucca Valley CA 92284-3148
Phone: (760) 369-4057
Fax: (760) 369-9473
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 1518093434
LBN Legal business name Pacific Clinics
DBA Doing business as Pacific Clinics Clubhouse - Santa Fe Social Club
Authorized official Mandel, Susan PHD
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2007
Last updated May 21st, 2008 - about 16 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 1518093434 NPPES
California MEDICAID 0000036BV

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