| |
2531 W Woodland Dr Anaheim CA 92801-2637 | |
(714) 226-9888 | |
(714) 226-9885 |
Full Name | |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 2531 W Woodland Dr, Anaheim, California |
Authorized Official Name and Position | Lorena Lopez (PROVIDER RELATIONS SUPERVISOR) |
Authorized Official Contact | 5103377950 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1080 Marina Village Pkwy Suite 100 Alameda CA 94501-6427 Ph: (510) 337-7950 | 2531 W Woodland Dr Anaheim CA 92801-2637 Ph: (714) 226-9888 |
NPI Number | 1265528038 |
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Provider Enumeration Date | 10/05/2006 |
Last Update Date | 03/01/2023 |
Certification Date | 03/01/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265528038 | NPI | - | NPPES |
30DF | Other | CA | COUNTY MENTAL HEALTH CERTIFICATE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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