GERELYN PEDIATRIC CARE NPI 1679757595

NPI Information

NPI: 1679757595
Provider Name: GERELYN PEDIATRIC CARE
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
617 S SENTOUS AVE
WEST COVINA, CA
ZIP 91792
Phone: (626) 839-5777
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GERELYN PEDIATRIC CARE is an intermediate care facility mentally retarded in West Covina, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. GERELYN PEDIATRIC CARE NPI is 1679757595. The provider is registered as an organization entity type.

The provider's business location address is:

617 S SENTOUS AVE
WEST COVINA, CA
ZIP 91792-126
Phone: (626) 839-5777

The provider's authorized official is Evelyn Pascual .
The authorized official title is Administrator and has the following contact phone number (626) 839-5777.

The enumeration date for this NPI number is 12/27/2007 and was last updated on 12/27/2007.

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	315P00000X	Intermediate Care Facility, Intellectual Disabilities				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: 4/28/2024

NPI Synchronization or Removal

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