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Organization
PACIFIC CLINICS
Active
Organization
PACIFIC CLINICS
Active
Other names
Pacific Clinics Foothill School
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN MANDEL PHD (PRESIDENT/CEO)
(626) 254-5000
Entity
Organization
Contact information
Practice address
4490 CORNISHON AVE, LA CANADA, CA 91011-3243
(818) 949-4758
(818) 949-4757
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
—
7704
—
CA
Enumeration date
07/19/2007
Last updated
04/18/2012
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