Whalio Doctors

NPI 1043249204

Department of State Hospitals

Organisation Psychiatric Hospital Patton, CA

Practice location

Address
3102 E Highland Ave, Patton, CA 92369-7813
Phone
(909) 425-7552
Fax
(909) 425-6407
Mailing address
1215 O Street, Ms-3 Patient Cost Recovery Section, Sacramento, CA 95814-6414

Authorised official

Name
Guadalupe M Alonzo-Diaz
Title
Administrative Deputy Director
Phone
(916) 654-2655

Registered specialties (6)

Psychiatric Hospital Primary
Hospitals Taxonomy 283Q00000X Licence 170000831 (CA)
Forensic Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TF0200X Licence 170000831 (CA)
General Acute Care Hospital
Hospitals Taxonomy 282N00000X Licence 170000831 (CA)
Mental Illness Intermediate Care Facility
Nursing & Custodial Care Facilities Taxonomy 310500000X Licence 170000831 (CA)
Pharmacy
Suppliers Taxonomy 333600000X Licence 170000831 (CA)
Long Term Care Pharmacy
Suppliers Taxonomy 3336L0003X Licence 170000831 (CA)

Registry record

NPI
1043249204
Entity type
Organization
NPI issued
1 Jul 2006
Record last updated
28 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.