| Trinity Monterey Park | |
|
1000 Corporate Center Dr Ste 650 Monterey Park CA 91754-7639 | |
| (626) 966-1776 | |
| (626) 266-5780 |
| Full Name | Trinity Monterey Park |
|---|---|
| Speciality | Clinic/Center |
| Location | 1000 Corporate Center Dr Ste 650, Monterey Park, California |
| Authorized Official Name and Position | James R. Adams (DIRECTOR) |
| Authorized Official Contact | 7147130561 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Monterey Park Po Box 1210 Claremont CA 91711-1210 Ph: (714) 713-0561 | Trinity Monterey Park 1000 Corporate Center Dr Ste 650 Monterey Park CA 91754-7639 Ph: (626) 966-1776 |
| NPI Number | 1376676973 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 02/08/2021 |
| Certification Date | 02/08/2021 |
| Medicare PECOS PAC ID | 1557594397 |
|---|---|
| Medicare Enrollment ID | O20140502000417 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376676973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 7552A (California) | Primary |
| Provider Name | Farah G Ferrer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942393996 PECOS PAC ID: 8921297524 Enrollment ID: I20110113000309 |
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