California Pediatric & Family Services, Inc.
Organization Active NPI Community/Behavioral Health Agency · Azusa, CA
NPI 1124342845 · NPPES record last updated Mar 24, 2010
Key facts
- NPI
- 1124342845
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- PP6092 (CA)
- Legal business name
- CALIFORNIA PEDIATRIC & FAMILY SERVICES, INC.
- Practice address
- 326 E Foothill Blvd
Azusa, CA 91702-2515 - Phone
- (626) 812-0055
- Fax
- (626) 334-1227
- NPI assigned
- Mar 24, 2010
- Organization subpart
- No
Authorized official
- Name
- Mr. Garry Gerben Van Zee, M.S, BCBA
- Title
- Executive Director
- Phone
- (626) 812-0055
Corporate family (same tax ID) 7
National Provider Directory
- Tax ID family
- California Pediatric Family Services Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | PP6092 | CA | Yes |
Addresses
Primary practice location
326 E Foothill Blvd
Azusa, CA 91702-2515
Mailing address
326 E Foothill Blvd
Azusa, CA 91702-2515
Phone (626) 812-0055
Other providers in Azusa, CA
- California Pediatri & Family Services, Inc
- California Pediatric & Family Services, Inc
- California Pediatric & Family Services, Inc
- California Pediatric & Family Services, Inc
- California Pediatric & Family Services, Inc.
- California Pediatric & Family Services, Inc.
- California Pediatric & Family Services, Inc.
- California PHRM Serv Inc
- Patrick Caluya
- Adrianne Camacho
All providers in Azusa, CA · Community/Behavioral Health Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.