| Atencio / Maclean Services, Inc. | |
|
30250 Rancho Viejo Rd Ste G San Juan Capistrano CA 92675-1562 | |
| (949) 444-6741 | |
| Not Available |
| Full Name | Atencio / Maclean Services, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 30250 Rancho Viejo Rd Ste G, San Juan Capistrano, California |
| Authorized Official Name and Position | Gina Louise Atencio-maclean (PSYCHOLOGIST) |
| Authorized Official Contact | 9494446741 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atencio / Maclean Services, Inc. 30250 Rancho Viejo Rd Ste G San Juan Capistrano CA 92675-1562 Ph: (949) 444-6741 | Atencio / Maclean Services, Inc. 30250 Rancho Viejo Rd Ste G San Juan Capistrano CA 92675-1562 Ph: (949) 444-6741 |
| NPI Number | 1871097303 |
|---|---|
| Provider Enumeration Date | 03/20/2018 |
| Last Update Date | 03/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871097303 | NPI | - | NPPES |
| CB261930 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | PSY28555 (California) | Primary |
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