Provider Demographics
NPI:1487121133
Name:PACIFIC HEALTH EDUCATION COGNITIVE CENTER, INC
Entity type:Organization
Organization Name:PACIFIC HEALTH EDUCATION COGNITIVE CENTER, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LEONARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:MENDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-889-2281
Mailing Address - Street 1:5300 CALIFORNIA AVE STE 220
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-1644
Mailing Address - Country:US
Mailing Address - Phone:661-282-9027
Mailing Address - Fax:661-283-0128
Practice Address - Street 1:5300 CALIFORNIA AVE STE 300&400
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-1664
Practice Address - Country:US
Practice Address - Phone:661-282-9027
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-31
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)