| Cys Seneca Oc South | |
|
22942 El Toro Rd Lake Forest CA 92630-4961 | |
| (949) 317-1010 | |
| Not Available |
| Full Name | Cys Seneca Oc South |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 22942 El Toro Rd, Lake Forest, California |
| Authorized Official Name and Position | Sandy Hobson (QUALITY ASSURANCE DIRECTOR) |
| Authorized Official Contact | 5107255727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cys Seneca Oc South 2275 Arlington Dr San Leandro CA 94578-1132 Ph: (510) 317-1444 | Cys Seneca Oc South 22942 El Toro Rd Lake Forest CA 92630-4961 Ph: (949) 317-1010 |
| NPI Number | 1376034371 |
|---|---|
| Provider Enumeration Date | 05/24/2018 |
| Last Update Date | 01/26/2023 |
| Certification Date | 01/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376034371 | NPI | - | NPPES |
| 0015 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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