Gerelyn Pediatric Care in West Covina - Intermediate Care Facility, Intellectual Disabilities

Gerelyn Pediatric Care - NPI 1679757595

Gerelyn Pediatric Care is a Intermediate Care Facility, Intellectual Disabilities in West Covina, California. Gerelyn Pediatric Care practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Gerelyn Pediatric Care is 1679757595. The last update date is 2007-12-27.

Gerelyn Pediatric Care's current location address is 617 S Sentous Ave, West Covina, California. You can contact this provider via phone number 6268395777. The mailing address for Gerelyn Pediatric Care is 617 S Sentous Ave, West Covina, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Gerelyn Pediatric Care
Address 617 S Sentous Ave, West Covina, California
Phone Number 6268395777
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Pascual Evelyn
Telephone Number 6268395777

NPI Number Detail

NPI Number 1679757595
Provider Enumeration Date 2007-12-27
Last Updated Date 2007-12-27

Provider Mailing Address Detail

Address 617 S Sentous Ave
City West Covina
State California (CA)
Post Code 917923126
Phone Number 6268395777
Fax Number

Provider's Primary Taxonomy Detail

Speciality Intermediate Care Facility, Intellectual Disabilities
Taxonomy 315P00000X
Definition:
An intermediate care facility providing services for individuals with intellectual disabilities.

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FAQs about Gerelyn Pediatric Care

What is the unique 10-digit identification code assigned to Gerelyn Pediatric Care by the Centers for Medicare & Medicaid Services?

The Gerelyn Pediatric Care has been issued the NPI (National Provider Identifier) 1679757595, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Gerelyn Pediatric Care?

The Gerelyn Pediatric Care is situated at 617 S Sentous Ave, in the city of West Covina, state of CA, with the zip code 917923126.

What is the area of specialization for Gerelyn Pediatric Care, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Gerelyn Pediatric Care is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 315P00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1679757595 to Gerelyn Pediatric Care?

The Gerelyn Pediatric Care received its 1679757595 assignment from the Centers for Medicare & Medicaid Services on 2007-12-27.

As of what date were the details pertaining to Gerelyn Pediatric Care last refreshed?

The information related to the Gerelyn Pediatric Care, including its address, specialty, and other relevant details, was last updated on 2007-12-27.

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