OrganizationHealth Service AlliancePsychologistBehavioral Health & Social Service ProvidersPractice Address9089 Base Line Rd Ste 200, Rancho Cucamonga, CA 91730-1295(909) 980-3567PECOS EnrollmentBased on the most recent information from CMS, provider Health Service Alliance does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1336858943Provider TypeOrganizationFull NameHealth Service AllianceSubpartNoEnumeration Date11/22/2022Last Updated11/22/2022Contact InformationPractice LocationPractice Address9089 Base Line Rd Ste 200, Rancho Cucamonga, CA 91730-1295Phone(909) 980-3567Fax(909) 989-3932Mailing LocationMailing Address9089 Base Line Rd Ste 200, Rancho Cucamonga, CA 91730-1295Phone(909) 980-3567Fax(909) 989-3932Authorized OfficialNameCox, Jeffrey J (Cfo)Phone(909) 464-9675Provider TaxonomiesCodeDescriptionLicenseCode103T00000XPrimaryDescriptionPsychologistBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer