San Gabriel Children'S Center Outpatient

LBN: San Gabriel Children'S Center Inc.
San Gabriel Children'S Center Outpatient is an health care organization with primary practice located at 4740 N Grand Ave , Covina CA 91724-2005. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children. Agencies / Community/Behavioral Health is the primary health care specialty. San Gabriel Children'S Center Inc. can be contacted via phone (626) 859-2089, or through Rincon, Porfirio via phone (626) 859-2089.

Contact Information

Primary practice address
4740 N Grand Ave Covina CA 91724-2005
Phone: (626) 859-2089
Fax: (626) 859-6537
Website:
Map and Directions
Authorized official contact:
Name: Rincon, Porfirio
Phone: (626) 859-2089

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 7563D California
Agencies / Community/Behavioral Health 251S00000X 7563A California
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X 197804972 California
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X 197804961 California

Profile Details

NPI number 1326172404
LBN Legal business name San Gabriel Children'S Center Inc.
DBA Doing business as San Gabriel Children'S Center Outpatient
Authorized official Rincon, Porfirio
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2007
Last updated May 1st, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326172404 NPPES
California MEDICAID 0000056BJ

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