Provider Demographics
NPI:1649991357
Name:CONKLIN & ASSOCIATES LLC
Entity type:Organization
Organization Name:CONKLIN & ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NALANI
Authorized Official - Middle Name:
Authorized Official - Last Name:MACHAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-733-8412
Mailing Address - Street 1:26699 EVERGREEN AVE
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-4047
Mailing Address - Country:US
Mailing Address - Phone:951-239-0772
Mailing Address - Fax:951-239-0372
Practice Address - Street 1:26699 EVERGREEN AVE
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-4047
Practice Address - Country:US
Practice Address - Phone:951-239-0772
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-09
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty