| James P. Hall D.o. A Medical Corp | |
|
5816 Corporate Ave Suite 170 Cypress CA 90630-4731 | |
| (714) 527-7886 | |
| Not Available |
| Full Name | James P. Hall D.o. A Medical Corp |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5816 Corporate Ave, Cypress, California |
| Authorized Official Name and Position | James P Hallo (CEO) |
| Authorized Official Contact | 7145277886 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James P. Hall D.o. A Medical Corp 5816 Corporate Ave Suite 170 Cypress CA 90630-4731 Ph: (714) 527-7886 | James P. Hall D.o. A Medical Corp 5816 Corporate Ave Suite 170 Cypress CA 90630-4731 Ph: (714) 527-7886 |
| NPI Number | 1871954164 |
|---|---|
| Provider Enumeration Date | 03/14/2016 |
| Last Update Date | 03/21/2023 |
| Certification Date | 03/21/2023 |
| Medicare PECOS PAC ID | 4587961818 |
|---|---|
| Medicare Enrollment ID | O20160331000239 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871954164 | NPI | - | NPPES |
| 20A7886 | Other | CA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 20A7886 (California) | Primary |
| Provider Name | James P Hall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760490643 PECOS PAC ID: 4385941616 Enrollment ID: I20160331000419 |
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