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Organization
PACIFIC CLINICS
Active
Organization
PACIFIC CLINICS
Active
Other names
Pacific Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
WENLI JEN ED.D (PROGRAM DIRECTOR)
(626) 287-2988
Entity
Organization
Contact information
Practice address
2144 MIDVALE AVE., LOS ANGELES, CA 90025
(310) 902-2863
Mailing address
2144 MIDVALE AVE, LOS ANGELES, CA 90025-5708
(310) 902-2863
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
171M00000X
CA
Other
Enumeration date
03/01/2013
Last updated
03/01/2013
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