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Organization
PACIFIC CLINICS
Active
Organization
PACIFIC CLINICS
Active
Other names
PC Portals New Hampshire
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
679 S. NEW HAMPSHIRE AVE., SUITE 400, LOS ANGELES, CA 90005-1355
(626) 254-5000
Mailing address
800 S SANTA ANITA AVE, ARCADIA, CA 91006-3536
(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
—
19AN
—
CA
05
—
7678
—
CA
Enumeration date
02/28/2007
Last updated
08/17/2021
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