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947 Schooner Dr Unit 202 Ventura CA 93001-4322 | |
| (310) 880-3825 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 947 Schooner Dr Unit 202, Ventura, California |
| Authorized Official Name and Position | Anna Selena Cho (PRESIDENT) |
| Authorized Official Contact | 3108803825 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
947 Schooner Dr Unit 202 Ventura CA 93001-4322 Ph: (310) 880-3825 | 947 Schooner Dr Unit 202 Ventura CA 93001-4322 Ph: (310) 880-3825 |
| NPI Number | 1609304716 |
|---|---|
| Provider Enumeration Date | 06/02/2017 |
| Last Update Date | 09/10/2024 |
| Certification Date | 09/10/2024 |
| Medicare PECOS PAC ID | 4688113327 |
|---|---|
| Medicare Enrollment ID | O20240827000781 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609304716 | NPI | - | NPPES |
| Provider Name | Anna Selena Cho |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1205212420 PECOS PAC ID: 1153860895 Enrollment ID: I20240827000708 |
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