Provider Demographics
NPI:1730342957
Name:UNITED BEHAVIORAL CENTER, INC
Entity type:Organization
Organization Name:UNITED BEHAVIORAL CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRY
Authorized Official - Prefix:DR
Authorized Official - First Name:SALVADOR
Authorized Official - Middle Name:
Authorized Official - Last Name:ARELLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-726-7522
Mailing Address - Street 1:834 W AVENUE J
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-3427
Mailing Address - Country:US
Mailing Address - Phone:661-726-7522
Mailing Address - Fax:
Practice Address - Street 1:834 W AVENUE J
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-3427
Practice Address - Country:US
Practice Address - Phone:661-726-7522
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-08
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA497797103TP0016X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF38043Medicare UPIN