| Integrated Recovery Foundation 22 | |
|
30211 Avenida De Las Bandera Ste 200 Rancho Santa Margarita CA 92688-2159 | |
| (949) 533-6075 | |
| (949) 484-7021 |
| Full Name | Integrated Recovery Foundation 22 |
|---|---|
| Speciality | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry |
| Location | 30211 Avenida De Las Bandera Ste 200, Rancho Santa Margarita, California |
| Authorized Official Name and Position | Myrna B Fernandez (UR/BILLING) |
| Authorized Official Contact | 9518131720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Recovery Foundation 22 25 Flor Amor Rancho Santa Margarita CA 92688 Ph: (951) 813-1720 | Integrated Recovery Foundation 22 30211 Avenida De Las Bandera Ste 200 Rancho Santa Margarita CA 92688-2159 Ph: (949) 533-6075 |
| NPI Number | 1568024263 |
|---|---|
| Provider Enumeration Date | 07/02/2019 |
| Last Update Date | 06/09/2020 |
| Certification Date | 06/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568024263 | NPI | - | NPPES |
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