| Access Bhc Licensed Clinical Social Worker Pc | |
|
1717 California St Apt 1 Huntington Beach CA 92648-3145 | |
| (714) 916-6668 | |
| Not Available |
| Full Name | Access Bhc Licensed Clinical Social Worker Pc |
|---|---|
| Speciality | Social Worker |
| Location | 1717 California St Apt 1, Huntington Beach, California |
| Authorized Official Name and Position | Juan Valenzuela (VICE PRESIDENT) |
| Authorized Official Contact | 9512378343 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Access Bhc Licensed Clinical Social Worker Pc 1717 California St Apt 1 Huntington Beach CA 92648-3145 Ph: () - | Access Bhc Licensed Clinical Social Worker Pc 1717 California St Apt 1 Huntington Beach CA 92648-3145 Ph: (714) 916-6668 |
| NPI Number | 1790408490 |
|---|---|
| Provider Enumeration Date | 09/19/2022 |
| Last Update Date | 09/19/2022 |
| Certification Date | 09/19/2022 |
| Medicare PECOS PAC ID | 5698145308 |
|---|---|
| Medicare Enrollment ID | O20221221000654 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790408490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Elizabeth Irene Valenzuela |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407263155 PECOS PAC ID: 2961707922 Enrollment ID: I20160304001519 |
| Provider Name | Christine Taheran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144642109 PECOS PAC ID: 4486084084 Enrollment ID: I20200422002771 |
| Provider Name | Anisbel Hornia Silva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740763036 PECOS PAC ID: 3678969052 Enrollment ID: I20220412001352 |
| Provider Name | Juan Roberto Valenzuela |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013540616 PECOS PAC ID: 4486038403 Enrollment ID: I20220825000453 |
| Provider Name | Jonathan Snipes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821250077 PECOS PAC ID: 8123298254 Enrollment ID: I20221212001272 |
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