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2845 Harbor Blvd Costa Masa CA 92626 | |
| (949) 478-3851 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 2845 Harbor Blvd, Costa Masa, California |
| Authorized Official Name and Position | Sheva Assar (PRESIDENT) |
| Authorized Official Contact | 9494783851 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
21163 Newport Coast Dr Ste 1004 Newport Coast CA 92657-1123 Ph: (949) 478-3851 | 2845 Harbor Blvd Costa Masa CA 92626 Ph: (949) 478-3851 |
| NPI Number | 1871252015 |
|---|---|
| Provider Enumeration Date | 12/15/2021 |
| Last Update Date | 01/20/2022 |
| Certification Date | 01/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871252015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |