| Klc Consultants, Pc | |
|
30101 Agoura Ct Ste 100 Agoura Hills CA 91301-4301 | |
| (818) 879-9018 | |
| (818) 879-9013 |
| Full Name | Klc Consultants, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 30101 Agoura Ct Ste 100, Agoura Hills, California |
| Authorized Official Name and Position | Colin P Dias (OWNER/CEO) |
| Authorized Official Contact | 8189343745 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Klc Consultants, Pc 30101 Agoura Ct Ste 100 Agoura Hills CA 91301-4301 Ph: (818) 934-3745 | Klc Consultants, Pc 30101 Agoura Ct Ste 100 Agoura Hills CA 91301-4301 Ph: (818) 879-9018 |
| NPI Number | 1053808899 |
|---|---|
| Provider Enumeration Date | 04/17/2018 |
| Last Update Date | 12/21/2021 |
| Certification Date | 12/21/2021 |
| Medicare PECOS PAC ID | 1759638984 |
|---|---|
| Medicare Enrollment ID | O20180719001425 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053808899 | NPI | - | NPPES |
| Provider Name | Colin P Dias |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811029168 PECOS PAC ID: 2466536990 Enrollment ID: I20080222000248 |
| Provider Name | Erica Metu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861938623 PECOS PAC ID: 1052687902 Enrollment ID: I20171020003116 |
| Provider Name | Angel O Nwochie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821341777 PECOS PAC ID: 1153692686 Enrollment ID: I20171109003453 |
| Provider Name | Emily Ann Downing-mahli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386193225 PECOS PAC ID: 2264776806 Enrollment ID: I20181207001354 |
| Provider Name | Jason Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487188629 PECOS PAC ID: 3870838147 Enrollment ID: I20181214002823 |
| Provider Name | Hagop Jack Mkroyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104479179 PECOS PAC ID: 4688906001 Enrollment ID: I20191104001782 |
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