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553 Worthington St Spring Valley CA 91977-5726 | |
| (619) 837-2072 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 553 Worthington St, Spring Valley, California |
| Authorized Official Name and Position | Amel Esposito (CEO & GENERAL COUNSEL) |
| Authorized Official Contact | 6198372072 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
826 Orange Avenue Pmb 508 Coronado CA 92118 Ph: (619) 922-3498 | 553 Worthington St Spring Valley CA 91977-5726 Ph: (619) 837-2072 |
| NPI Number | 1417787870 |
|---|---|
| Provider Enumeration Date | 08/01/2024 |
| Last Update Date | 10/29/2024 |
| Certification Date | 10/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417787870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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