| Anka Pablo Lane | |
|
340 Pablo Ln Nipomo CA 93444 | |
| (805) 619-3620 | |
| (805) 619-7879 |
| Full Name | Anka Pablo Lane |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 340 Pablo Ln, Nipomo, California |
| Authorized Official Name and Position | Nzinga Harrison (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 9258254700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anka Pablo Lane 3480 Buskirk Ave Ste 300 Pleasant Hill CA 94523-4343 Ph: (925) 825-4700 | Anka Pablo Lane 340 Pablo Ln Nipomo CA 93444 Ph: (805) 619-3620 |
| NPI Number | 1619393220 |
|---|---|
| Provider Enumeration Date | 03/07/2014 |
| Last Update Date | 07/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619393220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (NU) | Primary |
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