| G.i.f.t. Inc. | |
|
156 Soco Dr Fullerton CA 92832-2474 | |
| (714) 522-4438 | |
| Not Available |
| Full Name | G.i.f.t. Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 156 Soco Dr, Fullerton, California |
| Authorized Official Name and Position | Lydia Chun (OWNER/ CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7145224438 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| G.i.f.t. Inc. 156 Soco Dr Fullerton CA 92832-2474 Ph: () - | G.i.f.t. Inc. 156 Soco Dr Fullerton CA 92832-2474 Ph: (714) 522-4438 |
| NPI Number | 1609342500 |
|---|---|
| Provider Enumeration Date | 10/17/2018 |
| Last Update Date | 10/17/2018 |
| Medicare PECOS PAC ID | 4486906385 |
|---|---|
| Medicare Enrollment ID | O20190326003009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609342500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lydia S Chun |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417259524 PECOS PAC ID: 6103076088 Enrollment ID: I20121031000190 |
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