| Amhs Telecare Aot Fsp | |
|
615 W Civic Center Dr Suite 200 Santa Ana CA 92701-4006 | |
| (714) 795-3444 | |
| (714) 795-3445 |
| Full Name | Amhs Telecare Aot Fsp |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 615 W Civic Center Dr, Santa Ana, California |
| Authorized Official Name and Position | Lorena Lopez (PROVIDER RELATIONS SUPERVISOR) |
| Authorized Official Contact | 5102927024 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amhs Telecare Aot Fsp 1080 Marina Village Parkway Suite 100 Alameda CA 94578-1078 Ph: (510) 337-7950 | Amhs Telecare Aot Fsp 615 W Civic Center Dr Suite 200 Santa Ana CA 92701-4006 Ph: (714) 795-3444 |
| NPI Number | 1245627199 |
|---|---|
| Provider Enumeration Date | 04/17/2015 |
| Last Update Date | 02/06/2023 |
| Certification Date | 02/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245627199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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