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24522 Aguirre Mission Viejo CA 92692 | |
| (949) 441-9493 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Early Intervention Provider Agency |
| Location | 24522 Aguirre, Mission Viejo, California |
| Authorized Official Name and Position | Kelly Brooks (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 9494419493 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
24522 Aguirre Mission Viejo CA 92692 Ph: (949) 441-9493 | 24522 Aguirre Mission Viejo CA 92692 Ph: (949) 441-9493 |
| NPI Number | 1679926349 |
|---|---|
| Provider Enumeration Date | 07/19/2016 |
| Last Update Date | 07/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679926349 | NPI | - | NPPES |
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