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Organization
PACIFIC CLINICS
Active
Organization
PACIFIC CLINICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELIN ARIANA LOPEZ (MENTAL HEALTH WORKER)
(323) 718-8594
Entity
Organization
Contact information
Practice address
11741 TELEGRAPH RD, SANTA FE SPRINGS, CA 90670-3681
(626) 294-1079
Mailing address
11741 TELEGRAPH RD, SANTA FE SPRINGS, CA 90670-3681
(626) 294-1079
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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