| Espinoza Psychological Services, Inc | |
|
15615 Alton Pkwy Ste 450 Irvine CA 92618-3308 | |
| (949) 689-5402 | |
| (949) 606-8928 |
| Full Name | Espinoza Psychological Services, Inc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 15615 Alton Pkwy Ste 450, Irvine, California |
| Authorized Official Name and Position | Reginaldo Chase Espinoza (PRESIDENT) |
| Authorized Official Contact | 9496895402 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Espinoza Psychological Services, Inc 27 Homestead Dr Trabuco Canyon CA 92679-5333 Ph: () - | Espinoza Psychological Services, Inc 15615 Alton Pkwy Ste 450 Irvine CA 92618-3308 Ph: (949) 689-5402 |
| NPI Number | 1932867835 |
|---|---|
| Provider Enumeration Date | 12/08/2021 |
| Last Update Date | 12/08/2021 |
| Certification Date | 12/08/2021 |
| Medicare PECOS PAC ID | 2769876010 |
|---|---|
| Medicare Enrollment ID | O20220302001160 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932867835 | NPI | - | NPPES |
| Provider Name | Reginaldo Chase Espinoza |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992172258 PECOS PAC ID: 3173895729 Enrollment ID: I20170817001294 |
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