Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

12310 Lower Azusa RD

Organization Case Management Agency · NPI 1174813299

12310 Lower Azusa RD is a Case Management Agency in Arcadia, California. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

12310 Lowr Azusa Ave
Arcadia, CA 91006
Phone: (626) 579-8593
Fax: (562) 433-1029
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Agency (primary) Taxonomy 251B00000X

Record details

NPI number1174813299
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kyle Fortson — Tcm Coordinator · (626) 579-8593
NPI enumeratedApril 11, 2011
Last updated in NPPESApril 11, 2011
Mailing address12310 Lower Azusa Rd, Arcadia, CA 91006-5872

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