Pacific Clinics Gladstone High School

LBN: Pacific Clinics
Pacific Clinics Gladstone High School is an health care organization with primary practice located at 1340 N Enid Ave , Covina CA 91722-1214. 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 (626) 815-3619, or through Balla, James J. via phone (626) 254-5000.

Contact Information

Primary practice address
1340 N Enid Ave Covina CA 91722-1214
Phone: (626) 815-3619
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Balla, James J.
Phone: (626) 254-5000

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1780873935
LBN Legal business name Pacific Clinics
DBA Doing business as Pacific Clinics Gladstone High School
Authorized official Balla, James J.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2007
Last updated Aug 30th, 2016 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1780873935 NPPES
California MEDICAID 6843

Popular Providers