Sgcc-Nearfield Home

LBN: San Gabriel Children'S Center, Inc.
Sgcc-Nearfield Home is an health care organization with primary practice located at 4740 N Grand Ave , Covina CA 91724-2005. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. San Gabriel Children'S Center, Inc. can be contacted via phone (626) 859-2089, or through Rincon, Porfirio via phone (626) 859-2089.

Contact Information

Primary practice address
4740 N Grand Ave Covina CA 91724-2005
Phone: (626) 859-2089
Fax: (626) 859-6537
Website:
Map and Directions
Authorized official contact:
Name: Rincon, Porfirio
Phone: (626) 859-2089

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

Profile Details

NPI number 1801346812
LBN Legal business name San Gabriel Children'S Center, Inc.
DBA Doing business as Sgcc-Nearfield Home
Authorized official Rincon, Porfirio
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2016
Last updated Apr 25th, 2022 - about 2 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 1801346812 NPPES
California MEDICAID 0000056BJ

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