| Impacting Kidz | |
|
24802 Lakefield St Lake Forest CA 92630-2425 | |
| (626) 328-6929 | |
| Not Available |
| Full Name | Impacting Kidz |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 24802 Lakefield St, Lake Forest, California |
| Authorized Official Name and Position | Rossy C Perez (BEHAVIOR ANALYST) |
| Authorized Official Contact | 6263286929 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impacting Kidz 24802 Lakefield St Lake Forest CA 92630-2425 Ph: (626) 328-6929 | Impacting Kidz 24802 Lakefield St Lake Forest CA 92630-2425 Ph: (626) 328-6929 |
| NPI Number | 1528754694 |
|---|---|
| Provider Enumeration Date | 04/12/2023 |
| Last Update Date | 04/12/2023 |
| Certification Date | 04/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528754694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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