| Ahpg Wellness Group | |
|
12340 Seal Beach Blvd # B187 Seal Beach CA 90740-2792 | |
| (310) 503-5813 | |
| (310) 300-1814 |
| Full Name | Ahpg Wellness Group |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 12340 Seal Beach Blvd # B187, Seal Beach, California |
| Authorized Official Name and Position | Kesha Saucier (PRESIDENT) |
| Authorized Official Contact | 3108648885 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ahpg Wellness Group 12340 Seal Beach Blvd # B187 Seal Beach CA 90740-2792 Ph: () - | Ahpg Wellness Group 12340 Seal Beach Blvd # B187 Seal Beach CA 90740-2792 Ph: (310) 503-5813 |
| NPI Number | 1003454257 |
|---|---|
| Provider Enumeration Date | 12/18/2019 |
| Last Update Date | 04/09/2024 |
| Certification Date | 04/09/2024 |
| Medicare PECOS PAC ID | 6002245248 |
|---|---|
| Medicare Enrollment ID | O20200409000062 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003454257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Kesha Saucier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407254881 PECOS PAC ID: 2769774439 Enrollment ID: I20160718000541 |
| Provider Name | Luzviminda Jarcia Nobleza |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417972167 PECOS PAC ID: 6608953856 Enrollment ID: I20181009003739 |
| Provider Name | Kesha Saucier |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1407254881 PECOS PAC ID: 2769774439 Enrollment ID: I20240209001782 |
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