NPI 1679710362
Patton State Hospital
Practice location
- Address
- 3102 E Highland Ave Program 4, Unit 35, Patton, CA 92369-7813
- Phone
- (909) 425-7363
- Fax
- (909) 425-6208
Authorised official
- Name
- Andrew J Tamanaha
- Title
- Staff Psychologist
- Phone
- (909) 425-7363
Registered specialties
Psychiatric Hospital
Primary
Registry record
- NPI
- 1679710362
- Entity type
- Organization
- NPI issued
- 16 Jan 2009
- Record last updated
- 16 Jan 2009
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.