Anza Wellness & Recovery | |
350 E. Commercial Rd Suite 112 San Bernardino CA 92408-3764 | |
(480) 999-8295 | |
(480) 800-2212 |
Full Name | Anza Wellness & Recovery |
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Speciality | Psychiatry & Neurology |
Location | 350 E. Commercial Rd, San Bernardino, California |
Authorized Official Name and Position | Caleb Mauti Reid (CEO) |
Authorized Official Contact | 4089998295 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Anza Wellness & Recovery 301 N Palm Canyon Dr Ste 103-1047 Palm Springs CA 92262-5672 Ph: (480) 999-8295 | Anza Wellness & Recovery 350 E. Commercial Rd Suite 112 San Bernardino CA 92408-3764 Ph: (480) 999-8295 |
NPI Number | 1811605637 |
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Provider Enumeration Date | 11/10/2022 |
Last Update Date | 10/21/2024 |
Certification Date | 10/21/2024 |
Medicare PECOS PAC ID | 6800244799 |
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Medicare Enrollment ID | O20231204001463 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811605637 | NPI | - | NPPES |
Provider Name | Caleb Mauti Reid |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053759217 PECOS PAC ID: 7810364437 Enrollment ID: I20231204001557 |
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