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Organization
PACIFIC CLINICS CHILDREN/FAMILY SPECIALITY PC
Active
Organization
PACIFIC CLINICS CHILDREN/FAMILY SPECIALITY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE CASTRO (MENTAL HEALTH WORKER)
(323) 346-9328
Entity
Organization
Contact information
Practice address
1460 N LAKE AVE STE 101, PASADENA, CA 91104-2300
(323) 346-9328
Mailing address
1460 N LAKE AVE STE 101, PASADENA, CA 91104-2300
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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