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 |
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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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