Kamala Thomas Psychological Services Corp | |
15615 Alton Pkwy Irvine CA 92618-3341 | |
(909) 952-3211 | |
Not Available |
Full Name | Kamala Thomas Psychological Services Corp |
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Speciality | Clinic/Center |
Location | 15615 Alton Pkwy, Irvine, California |
Authorized Official Name and Position | Kamala Thomas (OWNER) |
Authorized Official Contact | 9099523211 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kamala Thomas Psychological Services Corp 3 Arborside Way Mission Viejo CA 92692-5950 Ph: (909) 952-3211 | Kamala Thomas Psychological Services Corp 15615 Alton Pkwy Irvine CA 92618-3341 Ph: (909) 952-3211 |
NPI Number | 1144843814 |
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Provider Enumeration Date | 05/28/2020 |
Last Update Date | 05/28/2020 |
Certification Date | 05/28/2020 |
Medicare PECOS PAC ID | 6709293657 |
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Medicare Enrollment ID | O20210322001483 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144843814 | NPI | - | NPPES |
1972985422 | Other | CA | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Provider Name | Kamala S Thomas |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1972985422 PECOS PAC ID: 4688989239 Enrollment ID: I20150812006653 |
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