Organization
SAN BERNARDINO COUNTY PUBLIC HEALTH DEPT.
Active
Parent organization
SAN BERNARDINO COUNTY PUBLIC HEALTH DEPT.
Other names
California Children's Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAN BERNARDINO COUNTY PUBLIC HEALTH DEPT.
Authorized official
DR. OHIKHUARE MAXWELL M.D. (HEALTH OFFICER)
(909) 387-6218
Entity
Organization
Contact information
Practice address
3380 AVALON, YUCCA MESA MTU, YUCCA VALLEY, CA 92286-0042
(760) 369-6315
(760) 369-1237
Mailing address
451 E VANDERBILT WAY, SAN BERNARDINO, CA 92408-3641
(909) 387-6218
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
2251P0200X
Pediatric Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CCS00116F
REHAB CLINIC
CA
Enumeration date
11/01/2006
Last updated
11/20/2024
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