| Ethera Oc Llc | |
|
19712 Macarthur Blvd Ste 110 Irvine CA 92612-2407 | |
| (714) 725-9897 | |
| Not Available |
| Full Name | Ethera Oc Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 19712 Macarthur Blvd Ste 110, Irvine, California |
| Authorized Official Name and Position | Isaac Kim (OPERATIONS OFFICER) |
| Authorized Official Contact | 7147455584 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ethera Oc Llc 19712 Macarthur Blvd Ste 110 Irvine CA 92612-2407 Ph: (714) 725-9897 | Ethera Oc Llc 19712 Macarthur Blvd Ste 110 Irvine CA 92612-2407 Ph: (714) 725-9897 |
| NPI Number | 1639816226 |
|---|---|
| Provider Enumeration Date | 05/16/2022 |
| Last Update Date | 05/19/2023 |
| Certification Date | 05/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639816226 | NPI | - | NPPES |
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