| Kataria Counseling Center | |
|
112 W Grand Blvd Corona CA 92882-2006 | |
| (951) 735-6000 | |
| (951) 735-6960 |
| Full Name | Kataria Counseling Center |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 112 W Grand Blvd, Corona, California |
| Authorized Official Name and Position | Purshotam B Kataria (PRESIDENT) |
| Authorized Official Contact | 9517356000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kataria Counseling Center 112 W Grand Blvd Corona CA 92882-2006 Ph: (951) 735-6000 | Kataria Counseling Center 112 W Grand Blvd Corona CA 92882-2006 Ph: (951) 735-6000 |
| NPI Number | 1477721355 |
|---|---|
| Provider Enumeration Date | 02/14/2008 |
| Last Update Date | 02/01/2013 |
| Medicare PECOS PAC ID | 4284705260 |
|---|---|
| Medicare Enrollment ID | O20080618000689 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477721355 | NPI | - | NPPES |
| 00A434560 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A43456 (California) | Primary |
| Provider Name | Purshotam B Kataria |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073582482 PECOS PAC ID: 1759452733 Enrollment ID: I20080618000676 |
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