| Compassion Recovery Centers Llc | |
|
23141 Moulton Pkwy Ste 207 Laguna Hills CA 92653-1204 | |
| (877) 414-3007 | |
| Not Available |
| Full Name | Compassion Recovery Centers Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 23141 Moulton Pkwy Ste 207, Laguna Hills, California |
| Authorized Official Name and Position | Joshua Eugene Marquez (CEO) |
| Authorized Official Contact | 8774143007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Compassion Recovery Centers Llc 23141 Moulton Pkwy Ste 207 Laguna Hills CA 92653-1204 Ph: (877) 414-3007 | Compassion Recovery Centers Llc 23141 Moulton Pkwy Ste 207 Laguna Hills CA 92653-1204 Ph: (877) 414-3007 |
| NPI Number | 1710579099 |
|---|---|
| Provider Enumeration Date | 02/08/2021 |
| Last Update Date | 10/16/2023 |
| Certification Date | 10/16/2023 |
| Medicare PECOS PAC ID | 7214307750 |
|---|---|
| Medicare Enrollment ID | O20221228001007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710579099 | NPI | - | NPPES |
| Provider Name | Marco Zahedi |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1063779163 PECOS PAC ID: 0749590156 Enrollment ID: I20151113001020 |
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