| Cys North Region | |
|
120 S State College Blvd Ste 150 Brea CA 92821-5807 | |
| (714) 577-5400 | |
| (714) 577-5450 |
| Full Name | Cys North Region |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 120 S State College Blvd Ste 150, Brea, 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 North Region 405 W 5th St Ste 212 Santa Ana CA 92701-4522 Ph: (714) 568-5614 | Cys North Region 120 S State College Blvd Ste 150 Brea CA 92821-5807 Ph: (714) 577-5400 |
| NPI Number | 1962549774 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 12/20/2019 |
| Certification Date | 12/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962549774 | NPI | - | NPPES |
| 8067 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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