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Organization

EUPHRATE BEHAVIORAL HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEMERICK TAKANG (NP)
(310) 946-5578
Entity
Organization

Contact information

Practice address
301 E ARROW HWY STE 101, SAN DIMAS, CA 91773-3364
(310) 946-5578
Mailing address
5493 STONEVIEW RD, RANCHO CUCAMONGA, CA 91739-8933
(310) 946-5578

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary

Other

Enumeration date
11/05/2024
Last updated
04/30/2026
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