Organization
VERDUGO MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J BUCKLEY (EXECUTIVE ASSISTANT)
(818) 244-7257
Entity
Organization
Contact information
Practice address
1540 E COLORADO ST, GLENDALE, CA 91205-1514
(818) 244-7257
(818) 243-5431
Mailing address
540 S MARENGO AVE, PASADENA, CA 91101-3130
(626) 397-4910
(626) 397-4911
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
A037154
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
WA48388H
—
CA
Enumeration date
11/21/2006
Last updated
08/22/2020
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