| Hila Raen Licensed Clinical Social Worker Inc. | |
|
5000 Birch St West Tower Ste 3000 Newport Beach CA 92660-9266 | |
| (949) 529-1903 | |
| (949) 576-3913 |
| Full Name | Hila Raen Licensed Clinical Social Worker Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5000 Birch St West Tower, Newport Beach, California |
| Authorized Official Name and Position | Hila Raen (CEO) |
| Authorized Official Contact | 9495012296 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hila Raen Licensed Clinical Social Worker Inc. 2 Flagstone Apt 834 Irvine CA 92606-7684 Ph: (949) 501-2296 | Hila Raen Licensed Clinical Social Worker Inc. 5000 Birch St West Tower Ste 3000 Newport Beach CA 92660-9266 Ph: (949) 529-1903 |
| NPI Number | 1649909888 |
|---|---|
| Provider Enumeration Date | 06/05/2022 |
| Last Update Date | 04/23/2023 |
| Certification Date | 04/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649909888 | NPI | - | NPPES |
| 384995 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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