Clinica Sierra Vista | |
3608 Mt Pinos Way Frazier Park CA 93225 | |
(661) 245-3111 | |
(661) 461-3115 |
Full Name | Clinica Sierra Vista |
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Speciality | Community/behavioral Health |
Location | 3608 Mt Pinos Way, Frazier Park, California |
Authorized Official Name and Position | Lorin Lindner (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 6612453111 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Clinica Sierra Vista Po Box 1510 Frazier Park CA 93225-1510 Ph: (661) 245-3111 | Clinica Sierra Vista 3608 Mt Pinos Way Frazier Park CA 93225 Ph: (661) 245-3111 |
NPI Number | 1518213594 |
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Provider Enumeration Date | 07/27/2012 |
Last Update Date | 07/27/2012 |
Identifier | Type | State | Issuer |
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1518213594 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PSY 10659 (California) | Secondary |
251S00000X | Community/behavioral Health | PSY 10659 (California) | Primary |