Kaiser Permanente
Kaiser Permanente is a Mental Health Clinic/Center (Including Community Mental Health Center) in Moreno Valley, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
12815 Heacock StMoreno Valley, CA 92553-3116
Phone: (051) 601-6174
Fax: (951) 601-6224
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X · Licence MFC17474 (CA) |
|---|
Record details
| NPI number | 1265639660 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Roger Melton — Counselor Iii · (951) 601-6171 |
| NPI enumerated | June 28, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 12815 Heacock St, Moreno Valley, CA 92553-3116 |
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