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Organization
PACIFIC CLINICS
Active
Organization
PACIFIC CLINICS
Active
Other names
Promotores De Salud Services and PEI Military Services
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES J. BALLA (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(626) 254-5000
Entity
Organization
Contact information
Practice address
58945 BUSINESS CENTER DR, SUITE D & E, YUCCA VALLEY, CA 92284-7307
(760) 228-9657
(760) 369-6758
Mailing address
800 S SANTA ANITA AVE, ARCADIA, CA 91006-6853
(626) 254-5000
(626) 294-1077
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36BB
—
CA
Enumeration date
02/23/2007
Last updated
01/23/2017
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