Provider Demographics
NPI:1659616381
Name:NEW ERA HEALTH CARE SERVICES
Entity Type:Organization
Organization Name:NEW ERA HEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DORYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:AGUIRRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-867-0138
Mailing Address - Street 1:14540 RAMONA BOULEVARD, #212
Mailing Address - Street 2:
Mailing Address - City:BALDWIN PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91706-0013
Mailing Address - Country:US
Mailing Address - Phone:951-867-0138
Mailing Address - Fax:
Practice Address - Street 1:14540 RAMONA BLVD STE 212
Practice Address - Street 2:
Practice Address - City:BALDWIN PARK
Practice Address - State:CA
Practice Address - Zip Code:91706-3386
Practice Address - Country:US
Practice Address - Phone:951-867-0138
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-06
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management