| Cys East Region | |
|
500 City Pkwy W Ste 200 Orange CA 92868-2941 | |
| (714) 480-6600 | |
| Not Available |
| Full Name | Cys East Region |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 500 City Pkwy W Ste 200, Orange, 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 East Region 405 W 5th St Ste 212 Santa Ana CA 92701-4522 Ph: (714) 568-5614 | Cys East Region 500 City Pkwy W Ste 200 Orange CA 92868-2941 Ph: (714) 480-6600 |
| NPI Number | 1457498941 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 01/11/2021 |
| Certification Date | 01/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457498941 | NPI | - | NPPES |
| 30B8 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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