| Phoenix House California - Lake View Terrace | |
|
11600 Eldridge Ave Lake View Terrace CA 91342-6506 | |
| (800) 686-3000 | |
| Not Available |
| Full Name | Phoenix House California - Lake View Terrace |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 11600 Eldridge Ave, Lake View Terrace, California |
| Authorized Official Name and Position | Jordan House Goldstein (MARRIAGE & FAMILY THERAPIST) |
| Authorized Official Contact | 6572704960 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix House California - Lake View Terrace 11600 Eldridge Ave Lake View Terrace CA 91342-6506 Ph: (800) 686-3000 | Phoenix House California - Lake View Terrace 11600 Eldridge Ave Lake View Terrace CA 91342-6506 Ph: (800) 686-3000 |
| NPI Number | 1083530596 |
|---|---|
| Provider Enumeration Date | 06/29/2026 |
| Last Update Date | 06/29/2026 |
| Certification Date | 06/28/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083530596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Hathaway-sycamores Child And Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11500 Eldridge Ave, Ste 204, Lake View Terrace, CA 91342 Phone: 626-395-7100 | |
Hathaway Sycamores Child And Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11828 Gain St, Lake View Terrace, CA 91342 Phone: 626-395-7100 Fax: 626-395-7270 |