| Grand Heights Inc. | |
|
13112 Hadley St Ste 106a Whittier CA 90601-4583 | |
| (562) 693-2910 | |
| Not Available |
| Full Name | Grand Heights Inc. |
|---|---|
| Speciality | Counselor |
| Location | 13112 Hadley St Ste 106a, Whittier, California |
| Authorized Official Name and Position | Monte Lance Greenspan (THERAPIST / OWNER) |
| Authorized Official Contact | 5626932910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Heights Inc. 7341 E Stone Creek Ln Anaheim CA 92808-1365 Ph: (562) 693-2910 | Grand Heights Inc. 13112 Hadley St Ste 106a Whittier CA 90601-4583 Ph: (562) 693-2910 |
| NPI Number | 1427705045 |
|---|---|
| Provider Enumeration Date | 03/03/2022 |
| Last Update Date | 03/03/2022 |
| Certification Date | 03/03/2022 |
| Medicare PECOS PAC ID | 6608262274 |
|---|---|
| Medicare Enrollment ID | O20220407000660 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427705045 | NPI | - | NPPES |
| 1831365055 | Other | CA | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Monte Lance Greenspan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295958189 PECOS PAC ID: 6002202686 Enrollment ID: I20220407000975 |
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