Pak22 Llc | |
3012 California St Walnut Park CA 90255-5912 | |
(323) 864-7220 | |
Not Available |
Full Name | Pak22 Llc |
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Speciality | Social Worker - Clinical |
Location | 3012 California St, Walnut Park, California |
Authorized Official Name and Position | Alejandro Zendejas (OWNER) |
Authorized Official Contact | 3238647220 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pak22 Llc 3012 California St Walnut Park CA 90255-5912 Ph: () - | Pak22 Llc 3012 California St Walnut Park CA 90255-5912 Ph: (323) 864-7220 |
NPI Number | 1962297689 |
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Provider Enumeration Date | 04/12/2025 |
Last Update Date | 04/12/2025 |
Certification Date | 04/12/2025 |
Identifier | Type | State | Issuer |
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1962297689 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |