Organization
URDC HUMAN SERVICES CORPORATION
Active
Other names
Bill Moore Community Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA L ARRIVILLAGA (EXECUTIVE DIRECTOR)
(626) 398-3796
Entity
Organization
Contact information
Practice address
513 E LIME AVE, SUITE 101, MONROVIA, CA 91016-2982
(626) 249-0850
(626) 249-0854
Mailing address
1460 N LAKE AVE, SUITE 107, PASADENA, CA 91104-2300
(626) 398-3796
(626) 249-0854
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
960000932
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMM70645F
—
CA
Enumeration date
12/05/2011
Last updated
12/05/2011
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