OrganizationActive
12310 Lower Azusa Rd,
NPI 1174813299 · Case Management Agency · Arcadia, CA
Provider details
- NPI number
- 1174813299
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Authorized official
- Kyle Fortson, Tcm Coordinator
Practice location
12310 Lower Azusa Ave
Arcadia, CA 91006
Phone: (626) 579-8593
Fax: (562) 433-1029
Mailing address
12310 Lower Azusa Rd
Arcadia, CA 91006-5872
Registry dates
- Enumerated
- 2011-04-11
- Last updated
- 2011-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.