| Los Padrinos Juvenile Hall | |
|
7285 Quill Dr Downey CA 90242-2001 | |
| (562) 940-8864 | |
| Not Available |
| Full Name | Los Padrinos Juvenile Hall |
|---|---|
| Speciality | Clinic/center |
| Location | 7285 Quill Dr, Downey, California |
| Authorized Official Name and Position | Mark Corbet (INTERIM CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3232262400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Los Padrinos Juvenile Hall 7285 Quill Dr Downey CA 90242-2001 Ph: (562) 940-8864 | Los Padrinos Juvenile Hall 7285 Quill Dr Downey CA 90242-2001 Ph: (562) 940-8864 |
| NPI Number | 1598860876 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 03/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598860876 | NPI | - | NPPES |
| FHC16004F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
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