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NPI 1174813299

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

More CA providers

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.

12310 Lower Azusa Rd, — NPI 1174813299, Arcadia, CA | NPI Central