| Vtc - Perris | |
|
555 N Perris Blvd Bldg C Perris CA 92571-2811 | |
| (951) 300-1620 | |
| Not Available |
| Full Name | Vtc - Perris |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 555 N Perris Blvd Bldg C, Perris, California |
| Authorized Official Name and Position | Angie R Wiechert (CONTROLLER) |
| Authorized Official Contact | 5302301210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vtc - Perris 1360 E Lassen Ave Chico CA 95973-7823 Ph: (530) 893-0758 | Vtc - Perris 555 N Perris Blvd Bldg C Perris CA 92571-2811 Ph: (951) 300-1620 |
| NPI Number | 1366921033 |
|---|---|
| Provider Enumeration Date | 08/13/2018 |
| Last Update Date | 08/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366921033 | NPI | - | NPPES |
| 00118 | Other | CA | LEGAL ENTITY # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Primary |
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