| Community Bridges | |
|
18 West Lake Avenue Watsonville CA 95076-4356 | |
| (831) 722-7121 | |
| Not Available |
| Full Name | Community Bridges |
|---|---|
| Speciality | Community Health Worker |
| Location | 18 West Lake Avenue, Watsonville, California |
| Authorized Official Name and Position | Raymon Cancino (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8316888840 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Bridges 519 Main Street Watsonville CA 95076-4356 Ph: (831) 688-8840 | Community Bridges 18 West Lake Avenue Watsonville CA 95076-4356 Ph: (831) 722-7121 |
| NPI Number | 1619661717 |
|---|---|
| Provider Enumeration Date | 06/05/2023 |
| Last Update Date | 06/05/2023 |
| Certification Date | 06/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619661717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Primary |
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