| Bhcoe Neuro Behavioral Testing (nbt) | |
|
600 W Santa Ana Blvd Suite 510 Santa Ana CA 92701-4558 | |
| (714) 667-5600 | |
| Not Available |
| Full Name | Bhcoe Neuro Behavioral Testing (nbt) |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 600 W Santa Ana Blvd, Santa Ana, California |
| Authorized Official Name and Position | Chi Y Rajalingam (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Contact | 7148343154 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bhcoe Neuro Behavioral Testing (nbt) 405 W 5th St Ste 212 Santa Ana CA 92701-4522 Ph: (714) 568-5614 | Bhcoe Neuro Behavioral Testing (nbt) 600 W Santa Ana Blvd Suite 510 Santa Ana CA 92701-4558 Ph: (714) 667-5600 |
| NPI Number | 1689002297 |
|---|---|
| Provider Enumeration Date | 10/16/2013 |
| Last Update Date | 12/20/2019 |
| Certification Date | 12/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689002297 | NPI | - | NPPES |
| 30GK | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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