| Health Care Agency | |
|
42 Via Florencia Mission Viejo CA 92692-5961 | |
| (949) 395-5052 | |
| Not Available |
| Full Name | Health Care Agency |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 42 Via Florencia, Mission Viejo, California |
| Authorized Official Name and Position | Lisa A Follmer (CLINICAL SOCIAL WORKER I) |
| Authorized Official Contact | 9493955052 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Care Agency 42 Via Florencia Mission Viejo CA 92692-5961 Ph: (949) 395-5052 | Health Care Agency 42 Via Florencia Mission Viejo CA 92692-5961 Ph: (949) 395-5052 |
| NPI Number | 1427423953 |
|---|---|
| Provider Enumeration Date | 12/09/2015 |
| Last Update Date | 12/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427423953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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