| Bhs-sud-west | |
|
14140 Beach Blvd Suite 120, 155, And 200 Westminster CA 92683-4453 | |
| (714) 934-4600 | |
| (714) 896-7332 |
| Full Name | Bhs-sud-west |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 14140 Beach Blvd, Westminster, 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 |
|---|---|
| Bhs-sud-west 405 W 5th St Ste 212 Santa Ana CA 92701-4522 Ph: (714) 568-5614 | Bhs-sud-west 14140 Beach Blvd Suite 120, 155, And 200 Westminster CA 92683-4453 Ph: (714) 934-4600 |
| NPI Number | 1427271659 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 12/20/2019 |
| Certification Date | 12/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427271659 | NPI | - | NPPES |
| 3042 | Medicaid | CA | |
| 300042 | Other | CA | ADP |
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