Crownview Medical Group, Inc | |
158 C Ave Coronado CA 92118-1420 | |
(619) 435-5400 | |
(619) 435-5401 |
Full Name | Crownview Medical Group, Inc |
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Speciality | Psychiatry & Neurology |
Location | 158 C Ave, Coronado, California |
Authorized Official Name and Position | Mark Melden (OWNER) |
Authorized Official Contact | 6194355400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Crownview Medical Group, Inc 158 C Ave Coronado CA 92118-1420 Ph: (619) 435-5400 | Crownview Medical Group, Inc 158 C Ave Coronado CA 92118-1420 Ph: (619) 435-5400 |
NPI Number | 1598928798 |
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Provider Enumeration Date | 07/08/2008 |
Last Update Date | 07/01/2024 |
Certification Date | 07/01/2024 |
Medicare PECOS PAC ID | 2668524323 |
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Medicare Enrollment ID | O20090710000453 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598928798 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Provider Name | Mark Melden |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1982653135 PECOS PAC ID: 4981693462 Enrollment ID: I20040510001023 |
Provider Name | Christina Lam |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700171436 PECOS PAC ID: 8729377726 Enrollment ID: I20160513001983 |
Provider Name | Anne L Cox |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1467428268 PECOS PAC ID: 2668423153 Enrollment ID: I20161118001377 |
Provider Name | Kathryn Anderson |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1609140003 PECOS PAC ID: 8628311248 Enrollment ID: I20190523001085 |
Mark Melden, Do Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 158 C Ave, Coronado, CA 92118 Phone: 619-435-5400 Fax: 619-435-5401 | |
Ventura Health Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 Orange Ave, Ste 205, Coronado, CA 92118 Phone: 855-583-6887 | |
Crownview Co-occuring Institute, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 158 C Avenue, Coronado, CA 92118 Phone: 619-435-5400 | |
Neo-balance Marriage Therapy And Recovery, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1414 4th St, Coronado, CA 92118 Phone: 619-996-3065 | |
Coastal Counseling Svc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1330 Orange Ave Ste 319, Coronado, CA 92118 Phone: 619-737-9118 | |
Amali Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1330 Orange Ave Ste 308, Coronado, CA 92118 Phone: 619-837-2072 | |
Coronado Psychological Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 854 A Ave, Coronado, CA 92118 Phone: 619-554-0120 |