Blossom Professional Psychology Corporation | |
3652 Jellyfish Ln Oxnard CA 93035-3049 | |
(805) 666-9032 | |
Not Available |
Full Name | Blossom Professional Psychology Corporation |
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Speciality | Psychologist |
Location | 3652 Jellyfish Ln, Oxnard, California |
Authorized Official Name and Position | Virna T Merino (CEO) |
Authorized Official Contact | 8056669032 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Blossom Professional Psychology Corporation 3652 Jellyfish Ln Oxnard CA 93035-3049 Ph: (805) 666-9032 | Blossom Professional Psychology Corporation 3652 Jellyfish Ln Oxnard CA 93035-3049 Ph: (805) 666-9032 |
NPI Number | 1235720244 |
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Provider Enumeration Date | 02/02/2021 |
Last Update Date | 02/02/2021 |
Certification Date | 02/01/2021 |
Medicare PECOS PAC ID | 2961810924 |
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Medicare Enrollment ID | O20210413001023 |
Identifier | Type | State | Issuer |
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1235720244 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Virna Tehre Merino Landron |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1396937843 PECOS PAC ID: 0244562767 Enrollment ID: I20191031003221 |
Psychological Services For Families Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 E Esplanade Dr, Suite 860, Oxnard, CA 93036 Phone: 805-278-1997 Fax: 805-278-2295 | |
Ventura County Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1911 Williams Dr, Suite 200, Oxnard, CA 93036 Phone: 805-306-1892 | |