Organization
WESTCARE CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAURICE LEE (REGIONAL VICE PRESIDENT)
(559) 251-4800
Entity
Organization
Contact information
Practice address
1019 S PEACH AVE, SOUTH HALL, ROOMS S-100, S-200 AND S-213, FRESNO, CA 93727-4889
(559) 251-4800
(559) 453-6969
Mailing address
PO BOX 12107, FRESNO, CA 93776-2107
(559) 251-4800
(559) 453-6969
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1026
MEDI-CAL PROVIDER NUMBER
CA
Enumeration date
04/09/2007
Last updated
08/22/2020
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