Department of State Hospitals
NPI #1043249204 in Patton, California
Provider Information
- NPI Number
- 1043249204
- Entity Type
- Organization
- Organization Name
- Department of State Hospitals
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DEPARTMENT OF STATE HOSPITALS
- Primary Specialty
- Psychiatric Hospital
- Enumeration Date
- Jul 1, 2006
- Last Updated
- Jun 28, 2021
Practice Location
- Address
- 3102 E HIGHLAND AVE
- City
- Patton
- State
- California
- ZIP Code
- 92369-7813
- Phone
- (909) 425-7552
Authorized Official
- Name
- GUADALUPE M ALONZO-DIAZ
- Title
- ADMINISTRATIVE DEPUTY DIRECTOR
- Phone
- (916) 654-2655
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Forensic — Forensic |
| General Acute Care Hospital |
| Intermediate Care Facility, Mental Illness |
| Pharmacy |
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
| Psychiatric Hospital |
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