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Organization
PACIFIC CLINICS
Active
Organization
PACIFIC CLINICS
Active
Other names
Pacific Clinics Magnolia Park
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN MANDEL PHD (PRESIDENT/CEO)
(626) 254-5000
Entity
Organization
Contact information
Practice address
827 N AVON ST, BURBANK, CA 91505-2916
(818) 558-4677
(818) 848-8137
Mailing address
800 S SANTA ANITA AVE, ARCADIA, CA 91006-6853
(626) 254-5000
(626) 294-1077
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7703
—
CA
Enumeration date
07/19/2007
Last updated
02/03/2012
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