| Bill Moore Community Health Clinic | |
|
1460 N Lake Ave Suite 107 Pasadena CA 91104-2300 | |
| (626) 398-3796 | |
| (626) 398-3895 |
| Full Name | Bill Moore Community Health Clinic |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 1460 N Lake Ave, Pasadena, California |
| Authorized Official Name and Position | Al Sorkin (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6263983796 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bill Moore Community Health Clinic 1460 N Lake Ave Suite 107 Pasadena CA 91104-2300 Ph: (626) 398-3796 | Bill Moore Community Health Clinic 1460 N Lake Ave Suite 107 Pasadena CA 91104-2300 Ph: (626) 398-3796 |
| NPI Number | 1891963393 |
|---|---|
| Provider Enumeration Date | 02/19/2008 |
| Last Update Date | 02/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891963393 | NPI | - | NPPES |
| EAP70645F | Other | CA | EAPC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (California) | Primary |
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