Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PACIFIC CLINICS
Active
Organization
PACIFIC CLINICS
Active
Other names
Pacific Clinics Riverside TBS Expansion Program
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN MANDEL PHD (PRESIDENT/CEO)
(626) 254-5000
Entity
Organization
Contact information
Practice address
13800 HEACOCK ST, SUITES C236 & C210, MORENO VALLEY, CA 92553-3339
(951) 653-0819
(951) 656-2614
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
—
33HX
—
CA
Enumeration date
12/27/2007
Last updated
12/13/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up