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SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES NPI 1003002353

NPI Profile

NPI: 1003002353
Provider Name: SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES

Doing Business As: MHSA-LA FAMILIA FSP

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1149 N EL DORADO ST
STOCKTON, CA
ZIP 95202
Get Directions

Phone: (209) 468-8778

SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES is a healthcare provider in Stockton, CA. SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES NPI is 1003002353. The provider is registered as an organization entity type.
The provider Is Doing Business As Mhsa-la Familia Fsp.

The provider's business location address is:

1149 N EL DORADO ST
STOCKTON, CA
ZIP 95202-305
Phone: (209) 468-8778
Fax: (209) 462-2399

The provider's authorized official is Victor Singh .
The authorized official title is Director Behavioral Health Services and has the following contact phone number (209) 468-2082.

The enumeration date for this NPI number is 9/20/2007 and was last updated on 5/28/2014.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19092MEDICAIDCALIFORNIA
2ZZZ89455ZMEDICARE PIN

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: 10/13/2019

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