Provider Demographics
NPI:1740245489
Name:A CORPORATE REFERRAL CENTER INC
Entity type:Organization
Organization Name:A CORPORATE REFERRAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:661-904-0177
Mailing Address - Street 1:3770 MAYFAIR DR
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-2214
Mailing Address - Country:US
Mailing Address - Phone:661-904-0177
Mailing Address - Fax:
Practice Address - Street 1:3770 MAYFAIR DR
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-2214
Practice Address - Country:US
Practice Address - Phone:661-904-0177
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-18
Last Update Date:2015-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASPY9584103T00000X
CAPSY9584103TC0700X
CAMI5574106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
R62436Medicare UPIN