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Organization
PACIFIC CLINICS
Active
Organization
PACIFIC CLINICS
Active
Other names
Pacific Clinics Ontario
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES J. BALLA (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(626) 254-5000
Entity
Organization
Contact information
Practice address
2990 INLAND EMPIRE BLVD, SUITES 101 & 102, ONTARIO, CA 91764-4899
(909) 980-3427
(909) 945-3426
Mailing address
800 S SANTA ANITA AVE, ARCADIA, CA 91006-3536
(626) 254-5000
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7932
—
CA
Enumeration date
08/25/2015
Last updated
08/17/2021
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