| Mainline Family Counseling Service Prof Corp | |
|
14726 Ramona Ave # E10 Chino CA 91710-5730 | |
| (909) 334-2824 | |
| Not Available |
| Full Name | Mainline Family Counseling Service Prof Corp |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 14726 Ramona Ave # E10, Chino, California |
| Authorized Official Name and Position | Peter Lo (OWNER) |
| Authorized Official Contact | 9093342824 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mainline Family Counseling Service Prof Corp 14726 Ramona Ave # E10 Chino CA 91710-5730 Ph: () - | Mainline Family Counseling Service Prof Corp 14726 Ramona Ave # E10 Chino CA 91710-5730 Ph: (909) 334-2824 |
| NPI Number | 1124697164 |
|---|---|
| Provider Enumeration Date | 06/23/2021 |
| Last Update Date | 03/04/2024 |
| Certification Date | 03/04/2024 |
| Medicare PECOS PAC ID | 9032555263 |
|---|---|
| Medicare Enrollment ID | O20240311002657 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124697164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Peter Shin Lo |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1285047282 PECOS PAC ID: 0941646178 Enrollment ID: I20240314000394 |
Ebmd, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5353 G St, Chino, CA 91710 Phone: 909-590-3700 | |
Communication A To Z Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12188 Central Ave # 590, Chino, CA 91710 Phone: 909-393-6591 | |
Reslience Within Jeannie Tse Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14726 Ramona Ave Ste S17, Chino, CA 91710 Phone: 626-386-3316 Fax: 626-270-4237 | |
Cvusd Behavioral Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12970 3rd St, Chino, CA 91710 Phone: 909-628-1201 | |
Wholistic Family Therapy & Wellness Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11780 Central Ave Ste 115, Chino, CA 91710 Phone: 909-364-1104 | |
Chino Mental Health Associates Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 13751 Roswell Ave, Suite A, Chino, CA 91710 Phone: 909-591-4033 Fax: 909-902-6055 |