California Pediatric & Family Services, Inc
Organization Active NPI Developmentally Disabled Services Day Training Agency · Azusa, CA
NPI 1942420195 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1942420195
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Developmentally Disabled Services Day Training Agency 251C00000X
- License
- P26221 (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
- Apr 30, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Garry G Van Zee, M.S
- Title
- General Manager
- Phone
- (626) 812-0055
Corporate family (same tax ID) 7
National Provider Directory
- Tax ID family
- California Pediatric Family Services Inc
Locations
326 E Foothill Blvd
Azusa, CA 91702
Phone (626) 812-0055
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | P26221 | 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 names
- Adaptive Skills Training
Other providers in Azusa, CA
- Jerrold C Bustos
- Christie Butron
- 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
All providers in Azusa, CA · Developmentally Disabled Services Day Training 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 Aug 22, 2020. 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.