| Amatallc | |
|
222 W 6th St Corona CA 92882-3301 | |
| (909) 379-9237 | |
| (888) 507-7087 |
| Full Name | Amatallc |
|---|---|
| Speciality | Clinic/center - Methadone |
| Location | 222 W 6th St, Corona, California |
| Authorized Official Name and Position | Mason Matthew Terry (OFFICE MANAGER) |
| Authorized Official Contact | 9093799237 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amatallc 222 W 6th St Corona CA 92882-3301 Ph: (909) 379-9237 | Amatallc 222 W 6th St Corona CA 92882-3301 Ph: (909) 379-9237 |
| NPI Number | 1164143020 |
|---|---|
| Provider Enumeration Date | 09/08/2022 |
| Last Update Date | 09/20/2022 |
| Certification Date | 09/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164143020 | NPI | - | NPPES |
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