| Healing Source Medical, Inc. | |
|
1601 Dove St Ste 185 Newport Beach CA 92660-2441 | |
| (949) 416-2183 | |
| Not Available |
| Full Name | Healing Source Medical, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1601 Dove St Ste 185, Newport Beach, California |
| Authorized Official Name and Position | Charles Chaney (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9494162183 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Source Medical, Inc. 1601 Dove St Ste 185 Newport Beach CA 92660-2441 Ph: (949) 416-2183 | Healing Source Medical, Inc. 1601 Dove St Ste 185 Newport Beach CA 92660-2441 Ph: (949) 416-2183 |
| NPI Number | 1649781121 |
|---|---|
| Provider Enumeration Date | 10/24/2017 |
| Last Update Date | 10/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649781121 | NPI | - | NPPES |
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