|
| |
|
3930 4th Ave Ste 300 San Diego CA 92103-3119 | |
| (619) 542-9542 | |
| (619) 566-4979 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 3930 4th Ave Ste 300, San Diego, California |
| Authorized Official Name and Position | Bryan Amaro (CEO) |
| Authorized Official Contact | 6195429542 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
3930 4th Ave Ste 300 San Diego CA 92103-3119 Ph: (619) 542-9542 | 3930 4th Ave Ste 300 San Diego CA 92103-3119 Ph: (619) 542-9542 |
| NPI Number | 1386148625 |
|---|---|
| Provider Enumeration Date | 03/21/2018 |
| Last Update Date | 07/25/2024 |
| Certification Date | 07/25/2024 |
| Medicare PECOS PAC ID | 7315487873 |
|---|---|
| Medicare Enrollment ID | O20240911000557 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386148625 | NPI | - | NPPES |
Aefct Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4669 Murphy Canyon Rd Ste 212, San Diego, CA 92123 Phone: 858-569-0056 Fax: 858-569-4233 | |
R D Dipp Do Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1350 Columbia St, Unit 800, San Diego, CA 92101 Phone: 619-255-1649 Fax: 619-255-1649 | |
True Crew California Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8910 University Center Ln Ste 400, San Diego, CA 92122 Phone: 603-692-8173 | |
Wise Self Psychology, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2535 Kettner Blvd Ste 2b1, San Diego, CA 92101 Phone: 619-678-0020 |