Organization
CASA DE SAN BERNARDINO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODOLFO L PINON III DIRECTOR (DIRECTOR)
(909) 888-5027
Entity
Organization
Contact information
Practice address
735 N D ST, SAN BERNARDINO, CA 92401-1111
(909) 888-5027
Mailing address
735 N D ST, SAN BERNARDINO, CA 92401-1111
(909) 888-5027
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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