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Organization
ALTA BEHAVIORAL AND WELLNESS MEDICAL GROUP INC.
Active
Organization
ALTA BEHAVIORAL AND WELLNESS MEDICAL GROUP INC.
Active
Other names
Zion Healing Center East LA, Zion Healing Center West Covina
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARLON H. CARPIO FNP-C (NURSE PRACTITIONER)
(909) 282-0794
Entity
Organization
Contact information
Practice address
2410 S AZUSA AVENUE, WEST COVINA, CA 91792-1512
(909) 282-0794
Mailing address
2410 S AZUSA AVENUE, WEST COVINA, CA 91792-1512
(909) 282-0794
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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