| Pak22 LLC | |
|
3012 California St Walnut Park CA 90255-5912 | |
| (323) 864-7220 | |
| Not Available |
| Full Name | Pak22 LLC |
|---|---|
| Speciality | Social Worker |
| Location | 3012 California St, Walnut Park, California |
| Authorized Official Name and Position | Alejandro Zendejas (OWNER) |
| Authorized Official Contact | 3238647220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pak22 LLC 3012 California St Walnut Park CA 90255-5912 | Pak22 LLC 3012 California St Walnut Park CA 90255-5912 Ph: (323) 864-7220 |
| NPI Number | 1962297689 |
|---|---|
| Provider Enumeration Date | 04/12/2025 |
| Last Update Date | 04/12/2025 |
| Certification Date | 04/12/2025 |
| Medicare PECOS PAC ID | 1254859481 |
|---|---|
| Medicare Enrollment ID | O20250520004441 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962297689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |
| Provider Name | Aljandro Zendejas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841779543 PECOS PAC ID: 9133647365 Enrollment ID: I20250520004559 |
Neurology Associates of Southern California PC Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 7721 Pacific Blvd, Walnut Park, CA 90255 Phone: 310-295-0450 Fax: 310-525-5862 |