| Cys Choc Project Health Fsp | |
|
1120 W La Veta Ave Ste 660/470 Orange CA 92868 | |
| (714) 509-8210 | |
| (714) 509-8756 |
| Full Name | Cys Choc Project Health Fsp |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1120 W La Veta Ave Ste 660/470, Orange, California |
| Authorized Official Name and Position | Julie Moghal (DIRECTOR) |
| Authorized Official Contact | 7145093355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cys Choc Project Health Fsp 1201 W La Veta Ave Orange CA 92868-4203 Ph: (714) 506-8481 | Cys Choc Project Health Fsp 1120 W La Veta Ave Ste 660/470 Orange CA 92868 Ph: (714) 509-8210 |
| NPI Number | 1780173583 |
|---|---|
| Provider Enumeration Date | 05/07/2018 |
| Last Update Date | 07/10/2023 |
| Certification Date | 07/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780173583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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