Amhs Mha West Region Outpatient & Recovery Services | |
3055 W Orange Ave Ste 105 Anaheim CA 92804-3152 | |
(714) 638-8277 | |
(714) 638-8343 |
Full Name | Amhs Mha West Region Outpatient & Recovery Services |
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Speciality | Counselor |
Location | 3055 W Orange Ave Ste 105, Anaheim, California |
Authorized Official Name and Position | Jeffrey A Thrash (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 7145477559 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Amhs Mha West Region Outpatient & Recovery Services 1971 E 4th St Ste 130a Santa Ana CA 92705-3917 Ph: (714) 547-7559 | Amhs Mha West Region Outpatient & Recovery Services 3055 W Orange Ave Ste 105 Anaheim CA 92804-3152 Ph: (714) 638-8277 |
NPI Number | 1841320579 |
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Provider Enumeration Date | 03/06/2007 |
Last Update Date | 01/28/2019 |
Medicare PECOS PAC ID | 5597666198 |
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Medicare Enrollment ID | O20040329001622 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841320579 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Andrew Inglis |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1902860778 PECOS PAC ID: 3678612157 Enrollment ID: I20091121000072 |
Provider Name | Billy Johnson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255725156 PECOS PAC ID: 4385954320 Enrollment ID: I20151104000381 |
Provider Name | Ashraf M Helmy |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1790753234 PECOS PAC ID: 0840102547 Enrollment ID: I20151223001153 |
Provider Name | Janet Agu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982983508 PECOS PAC ID: 4183911928 Enrollment ID: I20160922001734 |
Provider Name | Darinka Aragon |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1114347291 PECOS PAC ID: 6204132442 Enrollment ID: I20170222002947 |
Provider Name | Brian Maser |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1144554635 PECOS PAC ID: 5496031635 Enrollment ID: I20170424001942 |
Provider Name | Alan J Baldrias |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720498504 PECOS PAC ID: 3779881230 Enrollment ID: I20170818000793 |
Provider Name | Christopher S Cho |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1104204528 PECOS PAC ID: 6901170083 Enrollment ID: I20180116002662 |
Provider Name | Blesilda Toohey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588024533 PECOS PAC ID: 3870856495 Enrollment ID: I20180412002903 |
Provider Name | Andia Heydari Turner |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1407210875 PECOS PAC ID: 0648525642 Enrollment ID: I20180921001885 |
Provider Name | Sheela L Masifi |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1124401765 PECOS PAC ID: 5991060592 Enrollment ID: I20190306000877 |
Provider Name | Allen Chen |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1487018099 PECOS PAC ID: 7315292810 Enrollment ID: I20190702001806 |
Provider Name | Carole H Kim |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1972037406 PECOS PAC ID: 0042543761 Enrollment ID: I20190821004530 |
Provider Name | Doan Q Nguyen |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1336503838 PECOS PAC ID: 0143584599 Enrollment ID: I20191002002125 |
Provider Name | Jeffrey Leong |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1194258707 PECOS PAC ID: 9931432689 Enrollment ID: I20191218003383 |
Provider Name | Jennifer L Amos |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043761000 PECOS PAC ID: 4183052764 Enrollment ID: I20200331002822 |
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