| Monarch Provider Group | |
|
350 N Glendale Ave Ste B220 Glendale CA 91206-3794 | |
| (415) 412-4790 | |
| Not Available |
| Full Name | Monarch Provider Group |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 350 N Glendale Ave Ste B220, Glendale, California |
| Authorized Official Name and Position | Julie Fitt (PRACTICE OWNER) |
| Authorized Official Contact | 4154124790 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Monarch Provider Group 350 N Glendale Ave Ste B220 Glendale CA 91206-3794 Ph: (415) 412-4790 | Monarch Provider Group 350 N Glendale Ave Ste B220 Glendale CA 91206-3794 Ph: (415) 412-4790 |
| NPI Number | 1881329654 |
|---|---|
| Provider Enumeration Date | 07/17/2022 |
| Last Update Date | 07/17/2022 |
| Certification Date | 07/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881329654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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