Organization · Type 2 NPI

Pacific Clinics

Community/Behavioral Health Agency · Los Angeles, CA

NPI number 1114162260 Active

Practice location

815 N El Centro Ave
Los Angeles, CA 90038-3805

Call (323) 463-2119 Map

Fax (323) 463-7033

Mailing address

251 Llewellyn Ave
Campbell, CA 95008-1940

Specialties and licenses

Taxonomy	Code	License
Case Manager/Care Coordinator	171M00000X	None listed
Developmentally Disabled Services Day Training Agency	251C00000X	None listed
Community/Behavioral Health Agency Primary	251S00000X	None listed
Supports Brokerage Agency	251X00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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NPI record

NPI: 1114162260
Entity type: Organization (Type 2)
Issued: Dec 3, 2008
Last updated: May 22, 2024
Status: Active
Subpart: Yes of Pacific Clinics

Other names

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Pacific Clinics Hollywood · other name

Authorized official

Kathryn McCarthy
Chief Executive Officer / President
(408) 379-3790

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114162260

Pacific Clinics's National Provider Identifier is 1114162260, issued on Dec 3, 2008. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Los Angeles, CA. The record was last updated on May 22, 2024.