| Community Access Network | |
|
2275 S Main St Ste 201, 101b,103 & 105 Corona CA 92882-5303 | |
| (951) 279-3222 | |
| (951) 279-8333 |
| Full Name | Community Access Network |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2275 S Main St Ste 201, 101b,103 & 105, Corona, California |
| Authorized Official Name and Position | Rafik William Philobos (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9512793222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Access Network 2275 South Main Street Suite 201 Corona CA 92882 Ph: (951) 279-3222 | Community Access Network 2275 S Main St Ste 201, 101b,103 & 105 Corona CA 92882-5303 Ph: (951) 279-3222 |
| NPI Number | 1619029030 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 09/28/2023 |
| Certification Date | 09/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619029030 | NPI | - | NPPES |
| 33GPAO | Medicaid | CA | |
| 33GPAO | Other | CA | OUTPATIENT MH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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