Organization
CSC PACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA CHING (CLINIC OPERATIONS MANAGER)
(213) 808-1792
Entity
Organization
Contact information
Practice address
726 E MAIN ST, SUITE A, ALHAMBRA, CA 91801
(626) 988-8006
Mailing address
711 W COLLEGE ST STE 388, LOS ANGELES, CA 90012-3177
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
10/12/2024
Last updated
10/18/2024
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