CDCR/CIM NPI 1568879591

NPI Information

NPI: 1568879591
Provider Name: CDCR/CIM
Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization
Address:
14901 CENTRAL AVE
CHINO, CA
ZIP 91710
Phone: (909) 606-7159
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CDCR/CIM is a psychiatric hospital in Chino, CA. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. CDCR/CIM NPI is 1568879591. The provider is registered as an organization entity type.

The provider's business location address is:

14901 CENTRAL AVE
CHINO, CA
ZIP 91710-500
Phone: (909) 606-7159
Fax: (909) 606-7044

The provider's authorized official is Victor Steven Jordan .
The authorized official title is Chief Of Mental Health and has the following contact phone number (909) 606-7159.

The enumeration date for this NPI number is 7/22/2014 and was last updated on 7/22/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	283Q00000X	Psychiatric Hospital		PSY13916	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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