OrganizationActive
Cdcr/Cim
NPI 1568879591 · Psychiatric Hospital · Chino, CA
Provider details
- NPI number
- 1568879591
- Entity type
- Organization
- Primary specialty
- Psychiatric HospitalHospitals
- Organization subpart
- No
- Authorized official
- Victor Jordan, Chief of Mental Health(909) 606-7159
- License
- PSY13916 (CA)
Specialties & taxonomies
Hospitals
Practice location
14901 Central Ave
Chino, CA 91710-9500
Phone: (909) 606-7159
Fax: (909) 606-7044
Approximate (ZIP-level) locationGet directions
Mailing address
14901 Central Ave
Chino, CA 91710-9500
Registry dates
- Enumerated
- 2014-07-22
- Last updated
- 2014-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.