| Cys Costa Mesa Region | |
|
2801 Bristol St Costa Mesa CA 92626-5996 | |
| (714) 850-8408 | |
| Not Available |
| Full Name | Cys Costa Mesa Region |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 2801 Bristol St, Costa Mesa, California |
| Authorized Official Name and Position | Chi Y Rajalingam (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Contact | 7148343154 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cys Costa Mesa Region 405 W 5th St Ste 212 Santa Ana CA 92701-4522 Ph: (714) 568-5614 | Cys Costa Mesa Region 2801 Bristol St Costa Mesa CA 92626-5996 Ph: (714) 850-8408 |
| NPI Number | 1346387743 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 07/14/2020 |
| Certification Date | 07/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346387743 | NPI | - | NPPES |
| 30C6 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
Cys Rite Of Passage Joann Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 Joann St, Costa Mesa, CA 92626 Phone: 714-454-7144 | |
Yellowstone Women's First Step House Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 Harbor Blvd, Suite 200, Costa Mesa, CA 92626 Phone: 888-941-9048 Fax: 949-646-5296 | |
Full Circle Wellness Collective, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3151 Airway Ave Ste F120, Costa Mesa, CA 92626 Phone: 714-406-0454 Fax: 714-617-2934 | |
Clean Path Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1650 Adams Ave, Costa Mesa, CA 92626 Phone: 949-734-7432 | |
Evagelos Coskinas Md A Medical Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Victoria St, Costa Mesa, CA 92627 Phone: 949-500-5108 Fax: 951-244-0747 | |
Lead Recovery Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3151 Airway Ave Ste F107, Costa Mesa, CA 92626 Phone: 714-964-6730 Fax: 714-964-4382 | |
Mainstay Recovery Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2790 Harbor Blvd, Suite 208, Costa Mesa, CA 92626 Phone: 830-456-6340 |