Organization
PATTON STATE HOSPITAL
Active
Organization
PATTON STATE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW J TAMANAHA PH.D. (STAFF PSYCHOLOGIST)
(909) 425-7363
Entity
Organization
Contact information
Practice address
3102 E HIGHLAND AVE, PROGRAM 4, UNIT 35, PATTON, CA 92369-7813
(909) 425-7363
(909) 425-6208
Mailing address
3102 E HIGHLAND AVE, PROGRAM 4, UNIT 35, PATTON, CA 92369-7813
(909) 425-7363
(909) 425-6208
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
21662
CA
Other
Enumeration date
01/16/2009
Last updated
01/16/2009
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