| Spectrum Optimal Care, Llc | |
|
405 Wilshire Pl Barstow CA 92311-2928 | |
| (909) 295-0388 | |
| Not Available |
| Full Name | Spectrum Optimal Care, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 405 Wilshire Pl, Barstow, California |
| Authorized Official Name and Position | Tawana Patron (BCBA - CLINICAL DIRECTOR) |
| Authorized Official Contact | 9092950388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Optimal Care, Llc 405 Wilshire Pl Barstow CA 92311-2928 Ph: (909) 295-0388 | Spectrum Optimal Care, Llc 405 Wilshire Pl Barstow CA 92311-2928 Ph: (909) 295-0388 |
| NPI Number | 1689463804 |
|---|---|
| Provider Enumeration Date | 05/05/2025 |
| Last Update Date | 05/05/2025 |
| Certification Date | 05/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689463804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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