Pch Pasadena, LLC
Community/Behavioral Health in San Marino, CA. Organization (NPI-2).
NPI number1699220145
StatusActive
Last updated in NPPESAug 24, 2016
Details
- NPI
- 1699220145
- Entity type
- Organization (NPI-2)
- Legal business name
- Pch Pasadena, LLC
- Organization subpart
- No
- Enumeration date
- Aug 24, 2016
- Last updated
- Aug 24, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
2400 Mission StSan Marino, CA 91108-1632
Phone 310-566-7625
Mailing address
11965 Venice Blvd Ste 202Los Angeles, CA 90066-3954
Phone 310-566-7625
Authorized official
Terry Krekorian
President
3109632059
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