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Organization
UCR HEALTH PSYCHIATRY - BROCKTON
Active
Organization
UCR HEALTH PSYCHIATRY - BROCKTON
Active
Parent organization
REGENTS OF UNIVERSITY OF CALIFORNIA
Organization subpart
Yes
Provider details
NPI number
Legal business name
REGENTS OF UNIVERSITY OF CALIFORNIA
Authorized official
JOHN A. HEYDT MD (CHIEF EXECUTIVE OFFICER)
(714) 456-2986
Entity
Organization
Contact information
Practice address
5887 BROCKTON AVE, SUITE A, RIVERSIDE, CA 92506-1853
(951) 827-7961
(951) 530-4783
Mailing address
PO BOX 31001-2130, PASADENA, CA 91110-2130
(213) 412-1973
(213) 412-1981
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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