| Bridge Telehealth Pc | |
|
101 E Valencia Mesa Dr Fullerton CA 92835-3809 | |
| (714) 871-3280 | |
| Not Available |
| Full Name | Bridge Telehealth Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 101 E Valencia Mesa Dr, Fullerton, California |
| Authorized Official Name and Position | Kishore K Desagani (PRESIDENT) |
| Authorized Official Contact | 9496890288 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge Telehealth Pc 4199 Campus Dr Ste 550 Irvine CA 92612-4694 Ph: (888) 912-7434 | Bridge Telehealth Pc 101 E Valencia Mesa Dr Fullerton CA 92835-3809 Ph: (714) 871-3280 |
| NPI Number | 1275266264 |
|---|---|
| Provider Enumeration Date | 07/06/2022 |
| Last Update Date | 09/23/2022 |
| Certification Date | 09/23/2022 |
| Medicare PECOS PAC ID | 4082097613 |
|---|---|
| Medicare Enrollment ID | O20220815003445 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275266264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Kishore Desagani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427084839 PECOS PAC ID: 1254305816 Enrollment ID: I20080604000493 |
| Provider Name | Mandeep Gogia Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972796563 PECOS PAC ID: 4688843857 Enrollment ID: I20130104000155 |
| Provider Name | Britany E Alexander |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891929832 PECOS PAC ID: 8123255619 Enrollment ID: I20131206001459 |
| Provider Name | Rohzan G Altre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093005225 PECOS PAC ID: 0941549554 Enrollment ID: I20190226002307 |
| Provider Name | Grace Marasigan Dualan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225682446 PECOS PAC ID: 9931539491 Enrollment ID: I20200423002548 |
| Provider Name | Dorianne Tillano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174951016 PECOS PAC ID: 7810352861 Enrollment ID: I20230427000924 |
Lighthouse Family Counseling Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1440 N. Harbor Blvd., Suite 908, Fullerton, CA 92838 Phone: 949-285-8802 Fax: 949-679-8929 | |
Dennis Williams Mft Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 440 E Commonwealth Ave Ste 205, Fullerton, CA 92832 Phone: 714-234-0906 | |
Cys Child Guidance Center, Inc. North Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 680 Langsdorf Dr, Suite 200, Fullerton, CA 92831 Phone: 714-871-9264 Fax: 714-871-5032 | |
Soar Behavior Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1764 E Commonwealth Ave, Unit 104, Fullerton, CA 92831 Phone: 657-217-0966 | |
Orange County Center For Psychotherapy And Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 213 N Pomona Ave, Fullerton, CA 92832 Phone: 714-447-8011 Fax: 714-871-2203 | |
Sunny Hills Behavioral Health, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 W Bastanchury Rd, Suite 1a, Fullerton, CA 92835 Phone: 714-773-4111 Fax: 714-773-4222 | |
Fullerton Neuropsychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 385 Imperial Hwy, Fullerton, CA 92835 Phone: 714-681-9070 Fax: 714-773-4788 |