| Erin Fraser Benesch, Inc | |
|
17452 Irvine Blvd Ste 213 Tustin CA 92780-3031 | |
| (714) 253-4697 | |
| Not Available |
| Full Name | Erin Fraser Benesch, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 17452 Irvine Blvd Ste 213, Tustin, California |
| Authorized Official Name and Position | Erin Benesch (PSYCHIATRIST) |
| Authorized Official Contact | 7148764172 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Erin Fraser Benesch, Inc 192 Milky Way Irvine CA 92618-8889 Ph: () - | Erin Fraser Benesch, Inc 17452 Irvine Blvd Ste 213 Tustin CA 92780-3031 Ph: (714) 253-4697 |
| NPI Number | 1407310121 |
|---|---|
| Provider Enumeration Date | 01/27/2019 |
| Last Update Date | 01/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407310121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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