Organization
PACIFIC CLINICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN SU ASW (PROGRAM DIRECTOR)
(626) 962-6061
Entity
Organization
Contact information
Practice address
1517 W GARVEY AVE N, WEST COVINA, CA 91790-2138
(626) 962-6061
(626) 962-4471
Mailing address
1517 W GARVEY AVE N, WEST COVINA, CA 91790-2138
(626) 962-6061
(626) 962-4471
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/01/2007
Last updated
08/22/2020
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