San Gabriel Childrens Center Inc

LBN: San Gabriel Childrens Center Inc
San Gabriel Childrens Center Inc is an health care organization with primary practice located at 4740 N Grand Ave , Covina CA 91724-2005. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children. Agencies / Community/Behavioral Health is the primary health care specialty. San Gabriel Childrens 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 Master of Arts (MA)
Phone: (626) 859-2089

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 7274A California
Agencies / Community/Behavioral Health 251S00000X 7274D California
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X California
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X California
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X California
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X California
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X California
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X California

Profile Details

NPI number 1730381880
LBN Legal business name San Gabriel Childrens Center Inc
DBA Doing business as
Authorized official Rincon, Porfirio Master of Arts (MA)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2007
Last updated Aug 22nd, 2020 - about 4 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 1730381880 NPPES
California MEDICAID 0000056BJ

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