12310 Lower Azusa RD
12310 Lower Azusa RD is a Case Management Agency in Arcadia, California. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
12310 Lowr Azusa AveArcadia, CA 91006 Not confirmed with CMS for 15 years — call before visiting
Phone: (626) 579-8593
Fax: (562) 433-1029
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Management Agency (primary) | Taxonomy 251B00000X |
|---|
Record details
| NPI number | 1174813299 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kyle Fortson — Tcm Coordinator · (626) 579-8593 |
| NPI enumerated | April 11, 2011 |
| Last updated in NPPES | April 11, 2011 |
| Mailing address | 12310 Lower Azusa Rd, Arcadia, CA 91006-5872 |
Other providers in Arcadia
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Larry Bernard Holloway, PROBATIONOFFICER2
12310 Lowr Azusa RD, Arcadia, CA 91006-5872 · (626) 579-8593
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La County Probation
12310 Lowr RD, Arcadia, CA 91006 · (626) 579-8593
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Los County Probation
12310 Lowr Azusa RD, Arcadia, CA 91006-5872 · (626) 579-8593