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1000 Quail St Ste 290 Newport Beach CA 92660-2743 | |
| (714) 828-1800 | |
| (714) 882-1186 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1000 Quail St Ste 290, Newport Beach, California |
| Authorized Official Name and Position | Magdalen Gustilo (DIRECTOR OF PAYER RELATIONS) |
| Authorized Official Contact | 7145687667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
18401 Von Karman Ave Ste 500 Irvine CA 92612-8531 Ph: (714) 828-1800 | 1000 Quail St Ste 290 Newport Beach CA 92660-2743 Ph: (714) 828-1800 |
| NPI Number | 1871974253 |
|---|---|
| Provider Enumeration Date | 06/11/2015 |
| Last Update Date | 11/13/2023 |
| Certification Date | 11/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871974253 | NPI | - | NPPES |
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