| Abstract To Clarity Inc | |
|
3744 E Chapman Ave Unit 2145 Orange CA 92859-8506 | |
| (888) 317-1008 | |
| (888) 317-1473 |
| Full Name | Abstract To Clarity Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3744 E Chapman Ave Unit 2145, Orange, California |
| Authorized Official Name and Position | Hazelina Belladora (CEO) |
| Authorized Official Contact | 8883171008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abstract To Clarity Inc 3744 E Chapman Ave Unit 2145 Orange CA 92859-8506 Ph: (888) 317-1008 | Abstract To Clarity Inc 3744 E Chapman Ave Unit 2145 Orange CA 92859-8506 Ph: (888) 317-1008 |
| NPI Number | 1841070356 |
|---|---|
| Provider Enumeration Date | 10/02/2023 |
| Last Update Date | 10/02/2023 |
| Certification Date | 10/02/2023 |
| Medicare PECOS PAC ID | 9234586207 |
|---|---|
| Medicare Enrollment ID | O20231113002611 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841070356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Gustavo Alva |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417030222 PECOS PAC ID: 8123010691 Enrollment ID: I20040402000531 |
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