| Cabhc | |
|
17772 Irvine Blvd Ste 103 Tustin CA 92780-3233 | |
| (714) 696-1385 | |
| (888) 972-4028 |
| Full Name | Cabhc |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 17772 Irvine Blvd Ste 103, Tustin, California |
| Authorized Official Name and Position | Iris Amara Richardson (CO-OWNER) |
| Authorized Official Contact | 7146969783 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cabhc 17772 Irvine Blvd Ste 103 Tustin CA 92780-3233 Ph: (714) 696-1385 | Cabhc 17772 Irvine Blvd Ste 103 Tustin CA 92780-3233 Ph: (714) 696-1385 |
| NPI Number | 1205314077 |
|---|---|
| Provider Enumeration Date | 08/02/2018 |
| Last Update Date | 09/10/2024 |
| Certification Date | 09/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205314077 | NPI | - | NPPES |
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