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Organization
PACIFIC CLINICS
Active
Organization
PACIFIC CLINICS
Active
Other names
Pacific Clinics Quality Improvement and Compliance (QIC)
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN MANDEL PHD (PRESIDENT CEO)
(626) 254-5000
Entity
Organization
Contact information
Practice address
13177 RAMONA BLVD, SUITE C, IRWINDALE, CA 91706-3855
(626) 960-4020
(626) 960-4076
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
—
QUALITY IMPROVEMENT
—
CA
Enumeration date
02/21/2007
Last updated
08/22/2020
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