Urdc Human Services Corporation

NPI 1114963642 - Clinic/Center - 261QC1500X

NPI Details
NPI 1114963642
Enumeration Date 06/22/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name AL AL
Position EXECUTIVE DIRECTOR
Phone (626) 398-3796
Fax (626) 398-3895
Practice Location
1460 N LAKE AVE
PASADENA CA, 91104-2300, US
Phone (626) 398-3796
Fax (626) 398-3895
Business Location
1460 N LAKE AVE
P.O. BOX 41274
PASADENA CA, 91104-2300, US
Phone (626) 398-3796
Fax (626) 398-3895
Toxanomy
Taxonomy Code 261QC1500X
License State California
License Number CMM70645F
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According to our database, Urdc Human Services Corporation NPI is 1114963642, taxonomy code is 261QC1500X and license number is CMM70645F, license state is located at California. Urdc Human Services Corporation physically located at 1460 N Lake Ave, Pasadena CA, 91104-2300. NPI Number 1033115704 has the healthcare provider type.

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1114963642 NPI number is provided on an as is basis without warranty of any kind. 1114963642 is maintained by the National Plan & Provider Enumeration System. The contents of Urdc Human Services Corporation are for informational purposes only.