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Organization
PES-EBS.INC.
Active
Organization
PES-EBS.INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER STOCKMAN (PRESIDENT)
(530) 888-1010
Entity
Organization
Contact information
Practice address
600 W SANTA ANA BLVD, SUITES 107, 108, 109, & 110, SANTA ANA, CA 92701-5458
(714) 667-7926
(530) 888-9065
Mailing address
600 W SANTA ANA BLVD, SUITES 107, 108, 109, & 110, SANTA ANA, CA 92701-5458
(714) 667-7926
(530) 888-9065
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
608733
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8048
DRUG MEDI-CAL
CA
Enumeration date
10/29/2015
Last updated
09/16/2016
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