| 10-20 Club Inc. | |
|
10810 Paramount Blvd Ste 202 Downey CA 90241-3351 | |
| (562) 294-3315 | |
| Not Available |
| Full Name | 10-20 Club Inc. |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 10810 Paramount Blvd Ste 202, Downey, California |
| Authorized Official Name and Position | Ronnie Fernandez (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3237933595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 10-20 Club Inc. 10810 Paramount Blvd Ste 202 Downey CA 90241-3351 Ph: (562) 294-3315 | 10-20 Club Inc. 10810 Paramount Blvd Ste 202 Downey CA 90241-3351 Ph: (562) 294-3315 |
| NPI Number | 1073112157 |
|---|---|
| Provider Enumeration Date | 10/20/2020 |
| Last Update Date | 12/05/2022 |
| Certification Date | 12/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073112157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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