| Eb Psych Solution, Inc. | |
|
4619 Rosemead Blvd Rosemead CA 91770-1478 | |
| (626) 268-9480 | |
| Not Available |
| Full Name | Eb Psych Solution, Inc. |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 10/16/2017 |
| Last Update Date | 01/06/2024 |
| Certification Date | 01/06/2024 |
| Medicare PECOS PAC ID | 8628335387 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932171121 PECOS PAC ID: 8022033521 Enrollment ID: I20051013000661 |
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