| Guardian Healthcare Services | |
|
2900 Bristol St Ste H200 Costa Mesa CA 92626-5981 | |
| (714) 375-1110 | |
| (714) 242-9700 |
| Full Name | Guardian Healthcare Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2900 Bristol St Ste H200, Costa Mesa, California |
| Authorized Official Name and Position | Benjamin Woodford Smith (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Contact | 9498923020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guardian Healthcare Services 2900 Bristol St Ste H200 Costa Mesa CA 92626-5981 Ph: (714) 375-1110 | Guardian Healthcare Services 2900 Bristol St Ste H200 Costa Mesa CA 92626-5981 Ph: (714) 375-1110 |
| NPI Number | 1750081493 |
|---|---|
| Provider Enumeration Date | 03/09/2023 |
| Last Update Date | 03/09/2023 |
| Certification Date | 03/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750081493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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