|
| |
|
3400 W Ball Road Suite 100 Anaheim CA 92804 | |
| (714) 484-4900 | |
| (714) 484-4903 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3400 W Ball Road, Anaheim, California |
| Authorized Official Name and Position | Adonis Sfera (OWNER) |
| Authorized Official Contact | 7144844900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 2089 Artesia CA 90702-2089 Ph: (562) 866-1895 | 3400 W Ball Road Suite 100 Anaheim CA 92804 Ph: (714) 484-4900 |
| NPI Number | 1467558502 |
|---|---|
| Provider Enumeration Date | 09/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467558502 | NPI | - | NPPES |
| 00A526221 | Medicaid | CA | |
| 00A526220 | Other | CA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A52622 (California) | Primary |
Seneca Family Of Agencies Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 233 S Quintana Dr, Anaheim, CA 92807 Phone: 714-979-2365 | |
Orange County Neurological Medical Group Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1211 W La Palma Ave Ste 710, Anaheim, CA 92801 Phone: 714-730-0311 Fax: 714-922-8093 | |
Suncoast Preparatory Academy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4761 E Hunter Ave, Anaheim, CA 92807 Phone: 949-994-6724 | |
Jasjit Kaur,m.d.inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1025 S Anaheim Blvd, Anaheim, CA 92805 Phone: 213-804-8854 | |
California Neurovascular Specialists Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1211 W La Palma Ave Ste 7101211w, Anaheim, CA 92801 Phone: 657-888-9199 | |
Foundations To Futures Aba Company Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1105 E Katella Ave Unit 533, Anaheim, CA 92805 Phone: 714-585-9960 |