Eb Psych Solution, Inc. | |
4619 Rosemead Blvd Rosemead CA 91770-1478 | |
(626) 268-9480 | |
Not Available |
Full Name | Eb Psych Solution, Inc. |
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Speciality | Psychiatry & Neurology |
Location | 4619 Rosemead Blvd, Rosemead, California |
Authorized Official Name and Position | Enrico Uro Balcos (PRESIDENT) |
Authorized Official Contact | 6262689480 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Eb Psych Solution, Inc. 122a E Foothill Blvd # 338 Arcadia CA 91006-2505 Ph: (626) 268-9480 | Eb Psych Solution, Inc. 4619 Rosemead Blvd Rosemead CA 91770-1478 Ph: (626) 268-9480 |
NPI Number | 1518478643 |
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Provider Enumeration Date | 10/16/2017 |
Last Update Date | 01/06/2024 |
Certification Date | 01/06/2024 |
Medicare PECOS PAC ID | 8628335387 |
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Medicare Enrollment ID | O20171205001796 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518478643 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | A63633 (California) | Primary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | A63363 (California) | Secondary |
Provider Name | Enrico U Balcos |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1932171121 PECOS PAC ID: 8022033521 Enrollment ID: I20051013000661 |
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