| Cope Clinic Inc. | |
|
1000 Newbury Rd Ste 240 Newbury Park CA 91320-6443 | |
| (805) 498-1400 | |
| Not Available |
| Full Name | Cope Clinic Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1000 Newbury Rd Ste 240, Newbury Park, California |
| Authorized Official Name and Position | Ebrahim Hazany (OWNER) |
| Authorized Official Contact | 8054981400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cope Clinic Inc. 1000 Newbury Rd Ste 240 Newbury Park CA 91320-6443 Ph: (805) 498-1400 | Cope Clinic Inc. 1000 Newbury Rd Ste 240 Newbury Park CA 91320-6443 Ph: (805) 498-1400 |
| NPI Number | 1104929082 |
|---|---|
| Provider Enumeration Date | 09/06/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2860590254 |
|---|---|
| Medicare Enrollment ID | O20070608000161 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104929082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | A53409 (California) | Primary |
| Provider Name | Ebrahim Hazany |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346359304 PECOS PAC ID: 1850344573 Enrollment ID: I20050222001034 |
| Provider Name | Frances L Onderwyzer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306909106 PECOS PAC ID: 4486684446 Enrollment ID: I20050818000860 |
| Provider Name | Amy J Shafer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356411888 PECOS PAC ID: 2466452800 Enrollment ID: I20070108000563 |
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