| Elan Academies | |
|
3158 Red Hill Ave Ste 150 Costa Mesa CA 92626-3428 | |
| (714) 966-2312 | |
| (714) 966-2317 |
| Full Name | Elan Academies |
|---|---|
| Speciality | Psychologist - Intellectual & Developmental Disabilities |
| Location | 3158 Red Hill Ave Ste 150, Costa Mesa, California |
| Authorized Official Name and Position | Mima Ransom (BUSINESS MANAGER) |
| Authorized Official Contact | 7149662312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elan Academies 3158 Red Hill Ave Ste 150 Costa Mesa CA 92626-3428 Ph: (714) 966-2312 | Elan Academies 3158 Red Hill Ave Ste 150 Costa Mesa CA 92626-3428 Ph: (714) 966-2312 |
| NPI Number | 1205226891 |
|---|---|
| Provider Enumeration Date | 02/03/2015 |
| Last Update Date | 02/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205226891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | PSY22346 (California) | Primary |
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