Organization
CALIFORNIA INSTITUE FOR MEN
Active
Organization
CALIFORNIA INSTITUE FOR MEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KERIM BANGOU PHARM.D (PHARMACIST INCHARGE)
(909) 597-1821
Entity
Organization
Contact information
Practice address
14901 CENTRAL AVE, CHINO, CA 91710-9500
(909) 597-1821
(909) 606-4332
Mailing address
14901 CENTRAL AVE, CHINO, CA 91710-9500
(909) 597-1821
(909) 606-4332
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
44274
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44274
PHARMACIST LICENCE NUMBER
CA
Enumeration date
03/28/2014
Last updated
03/28/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up