| Merrill Center | |
|
14677 Merrill Ave. Fontana CA 92335 | |
| (510) 337-7950 | |
| (510) 337-7969 |
| Full Name | Merrill Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 14677 Merrill Ave., Fontana, California |
| Authorized Official Name and Position | Lorena Lopez (PROVIDER RELATIONS SUPERVISOR) |
| Authorized Official Contact | 5102927024 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Merrill Center 1080 Marina Village Pkwy Ste 100 Alameda CA 94501-1078 Ph: (510) 337-7950 | Merrill Center 14677 Merrill Ave. Fontana CA 92335 Ph: (510) 337-7950 |
| NPI Number | 1376055632 |
|---|---|
| Provider Enumeration Date | 10/26/2017 |
| Last Update Date | 09/08/2026 |
| Certification Date | 09/08/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376055632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (NU) | Primary |
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