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CORDILLERAS MENTAL HEALTH CENTER NPI 1063123669


NPI Information

NPI: 1063123669
Provider Name: CORDILLERAS MENTAL HEALTH CENTER
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
200 EDMONDS RD
REDWOOD CITY, CA
ZIP 94062
Phone: (650) 367-1890
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CORDILLERAS MENTAL HEALTH CENTER is an adult mental health clinic center in Redwood City, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. CORDILLERAS MENTAL HEALTH CENTER NPI is 1063123669. The provider is registered as an organization entity type.

The provider's business location address is:

200 EDMONDS RD
REDWOOD CITY, CA
ZIP 94062-813
Phone: (650) 367-1890

The provider's authorized official is Nelia Lastimosa .
The authorized official title is Director Of Nursing and has the following contact phone number (510) 455-6334.

The enumeration date for this NPI number is 12/6/2022 and was last updated on 12/6/2022.


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
1261QM0850XClinic/CenterAdult Mental HealthYes

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

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